Healthcare Provider Details

I. General information

NPI: 1750451654
Provider Name (Legal Business Name): ROBERTA ROBIN TROUT RN, BSN, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3006 S MARYLAND PKWY STE 265
LAS VEGAS NV
89109-6204
US

IV. Provider business mailing address

3588 FRANCISCAN LN
LAS VEGAS NV
89121-5013
US

V. Phone/Fax

Practice location:
  • Phone: 702-733-0222
  • Fax: 702-731-3960
Mailing address:
  • Phone: 702-456-3448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number5398
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN0046
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: