Individual
MR. BENJAMIN CABASADA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R199626
MD
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN002146
NV
363LG0600X
Gerontology Nurse Practitioner
APRN00214600
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326405408
—
NV
01
—
APRN002146
STATE LICENSE
NV
Enumeration date
01/21/2016
Last updated
10/21/2022
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