Beverly Jane Abad
Individual provider Active NPI Registered Nurse · Las Vegas, NV
NPI 1083484760 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1083484760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 814630 (NV)
- Practice address
- 4040 S Eastern Ave
Las Vegas, NV 89119-0810 - Phone
- (702) 463-0300
- NPI assigned
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814630 | NV | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 814630 | NV | Yes |
Addresses
Primary practice location
4040 S Eastern Ave
Las Vegas, NV 89119-0810
Mailing address
7149 Hardwood Terrace St
North Las Vegas, NV 89084-4023
Phone (732) 600-2919
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.