Provider Demographics
NPI:1558872986
Name:CABRERA, NOEMI D (APRN)
Entity Type:Individual
Prefix:
First Name:NOEMI
Middle Name:D
Last Name:CABRERA
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 1:2031 MCDANIEL ST STE 250
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-6309
Mailing Address - Country:US
Mailing Address - Phone:702-649-9070
Mailing Address - Fax:702-649-9080
Practice Address - Street 1:2031 MCDANIEL ST STE 250
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-6309
Practice Address - Country:US
Practice Address - Phone:702-649-9070
Practice Address - Fax:702-649-9080
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty