Organization
ADULT-GERONTOLOGY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SABANICO NP, APRN, RN (OWNER)
(702) 659-2270
Entity
Organization
Contact information
Practice address
2670 CHANDLER AVE STE 3, LAS VEGAS, NV 89120-4084
(702) 695-2270
Mailing address
9936 BUNDELLA DR, LAS VEGAS, NV 89134-7574
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
02/05/2025
Last updated
02/12/2025
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