Provider Demographics
NPI:1679233431
Name:ARIZABAL, ERIKA IBANEZ (PA-C)
Entity Type:Individual
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First Name:ERIKA
Middle Name:IBANEZ
Last Name:ARIZABAL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:8323 AGNEW VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-4827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:630 S RANCHO DR STE E
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4849
Practice Address - Country:US
Practice Address - Phone:702-258-1001
Practice Address - Fax:702-258-8215
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2022-03-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant