Organization
PAHRUMP PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA MARIE IBARRA APRN (FNP-BC)
(775) 318-9300
Entity
Organization
Contact information
Practice address
2270 COMMERCIAL DR UNIT 2, PAHRUMP, NV 89048-4704
(775) 318-9300
(775) 318-9318
Mailing address
2200 E CALVADA BLVD STE A, PAHRUMP, NV 89048-5833
(775) 318-9300
(775) 318-9318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053670190
—
NV
05
—
1417162561
—
NV
Enumeration date
03/24/2022
Last updated
07/15/2024
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