Healthcare Provider Details

I. General information

NPI: 1851485569
Provider Name (Legal Business Name): KAREN NAVARRO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 N TENAYA WAY
LAS VEGAS NV
89128-0424
US

IV. Provider business mailing address

PO BOX 15645
LAS VEGAS NV
89114-5645
US

V. Phone/Fax

Practice location:
  • Phone: 702-243-8515
  • Fax: 702-242-1535
Mailing address:
  • Phone: 702-243-8515
  • Fax: 702-242-1535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN000909
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: