Individual provider · Type 1 NPI

Charmaine Lou Coronado

Nurse Practitioner · Las Vegas, NV

NPI number 1144860057 Active

Practice location

5410 W Sahara Ave
Las Vegas, NV 89146-3307

Call (702) 362-2500 Map

Fax (702) 876-6581

Mailing address

9835 Raven Wing Canyon Ct
Las Vegas, NV 89183-6315

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	RN52818 (NV)
Nurse Practitioner Primary	363L00000X	826962 (NV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144860057

Charmaine Lou Coronado's National Provider Identifier is 1144860057, issued on Jan 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 24, 2020.