Basic Information
Provider Information
NPI: 1205219698
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PASZEK
FirstName: KARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 780 KUENZLI ST STE 202
Address2:  
City: RENO
State: NV
PostalCode: 895020837
CountryCode: US
TelephoneNumber: 7759826427
FaxNumber: 7759825496
Practice Location
Address1: 1500 E 2ND ST STE 400
Address2:  
City: RENO
State: NV
PostalCode: 895021198
CountryCode: US
TelephoneNumber: 7759822400
FaxNumber: 7759822888
Other Information
ProviderEnumerationDate: 07/02/2015
LastUpdateDate: 05/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN0014977NVN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000XAPRN001977NVY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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