MEDICARE: LOREYDEL BIAS ABIA APRN

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	363LF0000X	Family Nurse Practitioner	820182	NV

General Provider Information

NPI Number	:	1093376758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOREYDEL BIAS ABIA APRN

Provider Business Mailing Address
First Line	:	PO BOX 7411198
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-1198
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:	702-977-1496

Provider Business Practice Location Address
First Line	:	6352 MEDICAL CENTER ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2413
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:	702-977-1496

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

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	02/25/2026

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