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Individual

KIERSAULA MADIEL GABATO TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-5000
Mailing address
4637 CHABOT DR STE 104, PLEASANTON, CA 94588-2749
(925) 924-1600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
824184
NV
363L00000X
Nurse Practitioner
Primary
824184
NV
363LF0000X
Family Nurse Practitioner
824184
NV

Other

Enumeration date
05/09/2024
Last updated
07/02/2026
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