Provider Demographics
NPI:1316577885
Name:BEGALMAN, TREVERIS IZAR (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TREVERIS
Middle Name:IZAR
Last Name:BEGALMAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6252 S RAINBOW BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3249
Mailing Address - Country:US
Mailing Address - Phone:702-419-3482
Mailing Address - Fax:702-419-5410
Practice Address - Street 1:8859 W FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8723
Practice Address - Country:US
Practice Address - Phone:702-419-3482
Practice Address - Fax:702-419-5410
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV825793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily