MEDICARE: ASBURY AND ASSOCIATES HEALTHCARE

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	363LP2300X	Primary Care Nurse Practitioner	APRN002538	NV

General Provider Information

NPI Number	:	1467950931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASBURY AND ASSOCIATES HEALTHCARE

Provider Business Mailing Address
First Line	:	304 S JONES BLVD # 2795
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2623
Country	:	US
Telephone Number	:	702-960-4812
Fax Number	:	702-838-1538

Provider Business Practice Location Address
First Line	:	4445 S JONES BLVD STE 1
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3371
Country	:	US
Telephone Number	:	725-272-2459
Fax Number	:	702-381-5383

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ANNETTE ASBURY
Credential	:	FNP-C
Telephone Number	:	702-659-6138

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	12/11/2025

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