MEDICARE: LISA KATHERINE TABOR APRN, ACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	APRN002065	NV

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	:	1285631044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA KATHERINE TABOR APRN, ACNP-BC

Provider Business Mailing Address
First Line	:	9900 BREN ROAD EAST
Second Line	:	MAIL ROUTE MN 008-8213
City	:	MINNETONKA
State	:	MN
Zip	:	55343
Country	:	US
Telephone Number	:	337-804-2049
Fax Number	:

Provider Business Practice Location Address
First Line	:	6545 S FORT APACHE RD STE 135-228
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6752
Country	:	US
Telephone Number	:	337-804-2049
Fax Number	:	877-866-3181

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	06/30/2020

Similar Medicare Providers

1639411473 — GIANG LAM A PROFESSION CORP
Practice Location Address:

6545 S FORT APACHE RD , 110
LAS VEGAS, NV
89148-6752

Practice Phone: 702-331-4444
Practice Fax: 702-749-6200

1245004027 — LILLIAN KELLY
Practice Location Address:

6545 S FORT APACHE RD STE 135-105
LAS VEGAS, NV
89148-6752

Practice Phone: 702-203-1964
Practice Fax:

1104674589 — MRS. ASHLEY REYNOLDS
Practice Location Address:

6545 S FORT APACHE RD STE 135-105
LAS VEGAS, NV
89148-6752

Practice Phone: 702-203-1964
Practice Fax:

1528808342 — LA TOYA CARROLL
Practice Location Address:

6545 S FORT APACHE RD STE 135-105
LAS VEGAS, NV
89148-6752

Practice Phone: 702-203-1964
Practice Fax:

1417769621 — ERICA ANGELIQUE JONES
Practice Location Address:

6545 S FORT APACHE RD STE 135-105
LAS VEGAS, NV
89148-6752

Practice Phone: 702-203-1964
Practice Fax:

1669266730 — HAYLEY ANNE HIGHTOWER
Practice Location Address:

6545 S FORT APACHE RD STE 135-133
LAS VEGAS, NV
89148-6752

Practice Phone: 702-816-0606
Practice Fax:

Directions to “ LISA KATHERINE TABOR APRN, ACNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.