Individual
MRS. ROSE LILY G. GUBATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S RANCHO DR STE 12, LAS VEGAS, NV 89106-4852
(702) 877-1887
(702) 877-4536
Mailing address
500 S RANCHO DR, STE 12, LAS VEGAS, NV 89106-4852
(702) 877-1887
(702) 877-4536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
40921
NV
363L00000X
Nurse Practitioner
Primary
APRN848060
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912662081
—
NV
Enumeration date
11/03/2021
Last updated
06/08/2022
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