Provider Demographics
NPI:1376123265
Name:CORREGIDOR, KARREN JOY (APRN)
Entity Type:Individual
Prefix:
First Name:KARREN
Middle Name:JOY
Last Name:CORREGIDOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 W SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3449
Mailing Address - Country:US
Mailing Address - Phone:702-967-6100
Mailing Address - Fax:702-967-6150
Practice Address - Street 1:5840 W SUNSET RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3449
Practice Address - Country:US
Practice Address - Phone:702-967-6100
Practice Address - Fax:702-967-6150
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN821889163WG0600X
NV821889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0600XNursing Service ProvidersRegistered NurseGerontology