Healthcare Provider Details
I. General information
NPI: 1194590463
Provider Name (Legal Business Name): KAREN SOLANYI CHICAGUY NINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/16/2023
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 N LAMB BLVD STE 130
LAS VEGAS NV
89110-6355
US
IV. Provider business mailing address
875 E SILVERADO RANCH BLVD APT 2115
LAS VEGAS NV
89183-5908
US
V. Phone/Fax
- Phone: 702-331-0100
- Fax:
- Phone: 725-275-5245
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: