Provider Demographics
NPI:1164933560
Name:HALES, AARON JAMES (APRN002682)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JAMES
Last Name:HALES
Suffix:
Gender:M
Credentials:APRN002682
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6079 SALSBURY COVE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-6738
Mailing Address - Country:US
Mailing Address - Phone:702-830-6937
Mailing Address - Fax:
Practice Address - Street 1:6079 SALSBURY COVE DRIVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-8908
Practice Address - Country:US
Practice Address - Phone:702-830-6937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002682363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty