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NPI Code Detail

MEDICARE: HANNAH ABIOLA

MEDICARE:   HANNAH  ABIOLA
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
1164W00000XLicensed Practical NurseLPN15603NV

General Provider Information

NPI Number : 1427825439
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ABIOLA
Provider Business Mailing Address
First Line : 21 ROSA ROSALES CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2591
Country : US
Telephone Number : 773-744-3343
Fax Number :
Provider Business Practice Location Address
First Line : 4423 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3703
Country : US
Telephone Number : 702-458-1137
Fax Number : 702-458-1423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2023
Last Update Date : 12/08/2023

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Directions to “ HANNAH ABIOLA ” Practice Location

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