Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 2369 | HI |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 813563 | NV |
N | 363LW0102X | Nurse Practitioner - Women's Health | 95007293 | CA |
NPI | 1003316159 |
---|---|
Provider Name | Rachel Abalos |
First Address | Las Vegas, NV 89148-5506 |
Second Address | Las Vegas, NV 89148-5506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2018 |
Last Update Date | 25/03/2021 |