Individual
ABRAHAM AGDAMAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
1641 E FLAMINGO RD STE 7, LAS VEGAS, NV 89119-5257
(702) 485-4575
(702) 485-4573
Mailing address
5409 TARTAN HILL AVE, LAS VEGAS, NV 89141-8602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
820067
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730743451
—
NV
Enumeration date
04/29/2019
Last updated
11/15/2022
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