Healthcare Provider Details

I. General information

NPI: 1093438095
Provider Name (Legal Business Name): ABAI WILLIAM ORMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 MONTESSOURI ST STE 201
LAS VEGAS NV
89117-3060
US

IV. Provider business mailing address

2575 MONTESSOURI ST STE 201
LAS VEGAS NV
89117-3060
US

V. Phone/Fax

Practice location:
  • Phone: 702-207-2526
  • Fax:
Mailing address:
  • Phone: 702-207-2526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: