Individual
GRANT SALVANTE ABITRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4275 BURNHAM AVE STE 100, LAS VEGAS, NV 89119-5400
(702) 240-6482
Mailing address
801 S RANCHO DR STE E6, LAS VEGAS, NV 89106-3812
(702) 240-6482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
882721
NV
363LA2100X
Acute Care Nurse Practitioner
882721
NV
363LA2200X
Adult Health Nurse Practitioner
882721
NV
363LG0600X
Gerontology Nurse Practitioner
882721
NV
Other
Enumeration date
11/18/2024
Last updated
02/04/2026
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