Healthcare Provider Details

I. General information

NPI: 1285993709
Provider Name (Legal Business Name): ANGELA ESLER-WHELAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 05/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BUFFALO DR STE 202
LAS VEGAS NV
89145-0397
US

IV. Provider business mailing address

401 N BUFFALO DR STE 202
LAS VEGAS NV
89145-0397
US

V. Phone/Fax

Practice location:
  • Phone: 702-527-7661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: