Provider Demographics
NPI:1093376758
Name:ABIA, LOREYDEL BIAS (APRN)
Entity Type:Individual
Prefix:
First Name:LOREYDEL
Middle Name:BIAS
Last Name:ABIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9030 W SAHARA AVE # 249
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5744
Mailing Address - Country:US
Mailing Address - Phone:702-408-1096
Mailing Address - Fax:702-441-6105
Practice Address - Street 1:2004 GLENVIEW DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-6114
Practice Address - Country:US
Practice Address - Phone:702-629-6992
Practice Address - Fax:702-446-0307
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV820182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily