MEDICARE: MISS LARA ALMYRA PARDENILLA CABATINGAN APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	878882	NV

General Provider Information

NPI Number	:	1457190019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LARA ALMYRA PARDENILLA CABATINGAN APRN, FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 338233
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89033-8233
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 338233
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89033-8233
Country	:	US
Telephone Number	:	702-513-5314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	05/23/2024

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