CARLA CORDOVA-EDUAVE


Address: 9990 Double R Blvd Ste 200, Reno, NV 89521-4833
Phone: 7753488800

CARLA CORDOVA-EDUAVE (NPI# 1114228517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114228517
Entity Type Individual
Full Name CARLA CORDOVA-EDUAVE
Credential PA
Practice Address 9990 Double R Blvd Ste 200
Reno
NV 89521-4833
Practice Telephone 7753488800
Practice Fax Number 7753488818
Mailing Telephone 7753488800
Mailing Fax Number 7753488818
Enumeration Date 2010-11-16
Last Update Date 2018-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA1241 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1114228517 05

Office Location

Street Address 9990 DOUBLE R BLVD STE 200
City RENO
State NV
Zip Code 89521-4833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609829274 Cameron Michael Bergin Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2006-05-17
1235730474 Alexandra Maie Gerlach Physical Therapist 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2020-11-04
1184286015 Michelle Mette Forman Physical Therapist 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2019-07-01
1417513383 Sydnii Mari Ray Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2019-05-15
1700343720 Rachel Difelice Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2019-02-26
1639645625 Britt Elizabeth Bickert Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2018-10-17
1265916803 Matthew Thomas Pearce Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2018-09-19
1093296741 Kamariah M Baker Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2018-08-21
1538649488 Christopher Nathan Wilson Physical Therapy Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2018-08-20
1386138519 Lynch Neuromonitoring Initiatives Ltd Electrodiagnostic Medicine 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2018-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003266032 Matthew Gordon Family Medicine 10539 Professional Cir Ste 200, Reno, NV 89521 2016-06-21
1003297219 Erin Snell Social Worker 2374 Cartwright Rd, Reno, NV 89521 2015-06-12
1649696766 Passport Health Holdings, LLC. Preventive Medicine 9190 Double Diamond Parkway, # 131, Reno, NV 89521 2014-03-13
1538585146 Francis Thomas Webb Chiropractor 9393 Gateway Drive, Suite L, Reno, NV 89521 2014-03-07
1811336753 Hans Peter Gray Dentist 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 2013-06-24
1194162990 Nevada Speech and Therapy Group Speech-Language Pathologist 1380 High Chaparral Drive, Reno, NV 89521 2013-06-03
1881934834 Cindy Lynn Barnes Occupational Therapist 1600 Mountain Lane, Reno, NV 89521 2013-02-27
1508105016 Shannon Marie Servi Social Worker 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 2013-02-04
1376853028 Steven Michael Bilach Specialist/Technologist, Other 15025 Tourmaline Dr, Reno, NV 89521 2010-10-15
1528377512 Kendra Brooks Newsome Behavioral Analyst 9408 Double R. Suite B, Reno, NV 89521 2010-09-24
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285093989 Lauren Ashley Colpo Physician Assistant 4760 Townsite Rd, Reno, NV 89511-9067 2016-02-23
1023350709 Karie King Physician Assistant 10085 Double R Blvd Ste 120, Reno, NV 89521-4867 2013-03-20
1700036506 Sheila Quinn Physician Assistant 640 W Moana Ln Ste 2, Reno, NV 89509-4857 2008-09-29
1336318583 Valerie Dianne Leitko Physician Assistant 1950 Villanova Dr, Reno, NV 89502-3142 2008-02-21
1700902012 Christine Burns Physician Assistant 6255 Sharlands Ave Ste C, Reno, NV 89523-2882 2007-03-21
1447297825 Nancy Ann Inman Physician Assistant Minute Clinic 9586, 55 Damonte Ranch Pkwy, Reno, NV 89521 2006-06-02
1154313666 Tracy Birkner Physician Assistant 645 North Arlington, Suite 440, Reno, NV 89503-4451 2005-08-19
1336610997 Amaya Drake Physician Assistant 975 Ryland St Ste 100, Reno, NV 89502-1669 2018-12-07
1639645625 Britt Elizabeth Bickert Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2018-10-17
1093296741 Kamariah M Baker Physician Assistant 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 2018-08-21
Find all providers in RENO

Competitor

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City RENO
Zip Code 89521

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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