Provider Demographics
NPI:1497091870
Name:LUNINI, RACHEL ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ANN
Last Name:LUNINI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:GIBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1701 BEARDEN DRIVE SUITE 200
Mailing Address - Street 2:APEX MEDICAL CENTER
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106
Mailing Address - Country:US
Mailing Address - Phone:702-310-9110
Mailing Address - Fax:702-310-9114
Practice Address - Street 1:1701 BEARDEN DR. SUITE 200
Practice Address - Street 2:APEX MEDICAL CENTER
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106
Practice Address - Country:US
Practice Address - Phone:702-310-9110
Practice Address - Fax:702-310-9114
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA1400363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVPR01827OtherPHARMACY PRESCRIBE LIC #
NVCS20685OtherNEVADA PHARMACY LIC #
NVCS20685OtherNEVADA PHARMACY LIC #
NVCS20685OtherNEVADA PHARMACY LIC #