Provider Demographics
NPI:1275761264
Name:MONTE, REBECCA M (APN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:MONTE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2545 S BRUCE ST
Mailing Address - Street 2:SUITE #8
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-1718
Mailing Address - Country:US
Mailing Address - Phone:702-733-0744
Mailing Address - Fax:702-796-9262
Practice Address - Street 1:3039 W HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4192
Practice Address - Country:US
Practice Address - Phone:702-896-6606
Practice Address - Fax:702-896-4221
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVRN61744163W00000X
NV001115363LF0000X, 363LP0200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care