Provider Demographics
NPI:1750451654
Name:TROUT, ROBERTA ROBIN (RN, BSN, APN)
Entity Type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:ROBIN
Last Name:TROUT
Suffix:
Gender:F
Credentials:RN, BSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3588 FRANCISCAN LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5013
Mailing Address - Country:US
Mailing Address - Phone:702-456-3448
Mailing Address - Fax:
Practice Address - Street 1:3006 S MARYLAND PKWY STE 265
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-6204
Practice Address - Country:US
Practice Address - Phone:702-733-0222
Practice Address - Fax:702-731-3960
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5398163W00000X
NVAPN0046363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology