RENATO OLEDAN RABARA


Address: 9958 Corbridge St, Las Vegas, NV 89178-3821
Phone: 7026770661

RENATO OLEDAN RABARA (NPI# 1356735435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356735435
Entity Type Individual
Full Name RENATO OLEDAN RABARA
Credential APRN
Practice Address 9958 Corbridge St
Las Vegas
NV 89178-3821
Practice Telephone 7026770661
Practice Fax Number 7028549780
Mailing Telephone 7026770661
Mailing Fax Number 7028549780
Enumeration Date 2015-03-26
Last Update Date 2018-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN001908 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9958 CORBRIDGE ST
City LAS VEGAS
State NV
Zip Code 89178-3821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659885184 Renato Oledan Rabara Fnp-c LLC Nurse Practitioner 9958 Corbridge St, Las Vegas, NV 89178-3821 2017-11-20
1679086706 Stella Javines Rabara Nurse Practitioner 9958 Corbridge St, Las Vegas, NV 89178-3821 2017-11-11

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89178

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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