Healthcare Provider Details

I. General information

NPI: 1467950931
Provider Name (Legal Business Name): ASBURY AND ASSOCIATES HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2018
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 S JONES BLVD STE 1
LAS VEGAS NV
89103-3371
US

IV. Provider business mailing address

304 S JONES BLVD # 2795
LAS VEGAS NV
89107-2623
US

V. Phone/Fax

Practice location:
  • Phone: 725-272-2459
  • Fax: 702-381-5383
Mailing address:
  • Phone: 702-960-4812
  • Fax: 702-838-1538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN002538
License Number StateNV

VIII. Authorized Official

Name: ANNETTE ASBURY
Title or Position: NURSE PRACTITIONER
Credential: FNP-C
Phone: 702-659-6138