MEDICARE: IVY MARIE ABANTE

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	163WH0200X	Home Health Registered Nurse	RN93174	NV

General Provider Information

NPI Number	:	1982578860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVY MARIE ABANTE

Provider Business Mailing Address
First Line	:	9200 BLACK DIAMOND ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-6312
Country	:	US
Telephone Number	:	213-379-2676
Fax Number	:

Provider Business Practice Location Address
First Line	:	9200 BLACK DIAMOND ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-6312
Country	:	US
Telephone Number	:	213-379-2676
Fax Number	:

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

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

Similar Medicare Providers

1073441184 — DENNIS JON SCIACCA APRN
Practice Location Address:

2031 MCDANIEL ST STE 200
NORTH LAS VEGAS, NV
89030-6312

Practice Phone: 702-294-0080
Practice Fax:

1558336792 — MRS. NORMA FAITH SORELLE C.R.N.A.
Practice Location Address:

3524 MORENO CT
LAS VEGAS, NV
89129-6312

Practice Phone: 775-375-5745
Practice Fax: 702-998-6977

1104029164 — SHERIF GEORGE HARAWAY MD
Practice Location Address:

2031 MCDANIEL ST STE 200
NORTH LAS VEGAS, NV
89030-6312

Practice Phone: 702-294-0080
Practice Fax: 702-965-2220

1639498702 — NEVADA ANESTHESIA PROFESSIONALS LLC
Practice Location Address:

3524 MORENO CT
LAS VEGAS, NV
89129-6312

Practice Phone: 508-971-6194
Practice Fax: 702-998-6977

1245586973 — LOGAN RAY JEFFRIES
Practice Location Address:

1831 STEVENS ST
LAS VEGAS, NV
89115-6312

Practice Phone: 702-493-0220
Practice Fax:

1194163980 — CARLOS JAVIER EZETA M.S., ME.D.
Practice Location Address:

6312 OBANNON DR
LAS VEGAS, NV
89146-3043

Practice Phone: 702-423-3838
Practice Fax:

Directions to “ IVY MARIE ABANTE ” 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.