MEDICARE: PAMELA ELAINE ALBO PAC

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	363AS0400X	Surgical Physician Assistant	608	NV
2	363AM0700X	Medical Physician Assistant	608	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	104032	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790876084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA ELAINE ALBO PAC

Provider Business Mailing Address
First Line	:	9033 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5745
Country	:	US
Telephone Number	:	702-476-9999
Fax Number	:	702-946-1343

Provider Business Practice Location Address
First Line	:	1569 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5321
Country	:	US
Telephone Number	:	702-476-9999
Fax Number	:	702-946-1343

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	04/30/2026

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Directions to “ PAMELA ELAINE ALBO PAC” Practice Location

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