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NPI Code Detail

MEDICARE: NILSON ABAD

MEDICARE: NILSON ABAD
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
1376J00000XHomemaker
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1912774472
Entity Type Code : Individual
Provider Name (Legal Business Name) : NILSON ABAD
Provider Business Mailing Address
First Line : 6528 EVERGREEN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3321
Country : US
Telephone Number : 305-609-4065
Fax Number :
Provider Business Practice Location Address
First Line : 1912 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3106
Country : US
Telephone Number : 702-331-3650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2023
Last Update Date : 12/05/2023

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Directions to “ NILSON ABAD ” Practice Location

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