Individual
IMNAS MACABUGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2315 E CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89030-8442
(808) 845-9955
Mailing address
2315 E CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89030-8442
(702) 633-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
840042
NV
Other
Enumeration date
11/08/2021
Last updated
02/04/2025
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