Provider Demographics
NPI:1134909880
Name:DOWER, ROBIGEN ENRIQUE
Entity type:Individual
Prefix:
First Name:ROBIGEN
Middle Name:ENRIQUE
Last Name:DOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 CABOT VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2477
Mailing Address - Country:US
Mailing Address - Phone:702-680-3179
Mailing Address - Fax:
Practice Address - Street 1:8960 W TROPICANA AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8161
Practice Address - Country:US
Practice Address - Phone:702-385-9505
Practice Address - Fax:702-660-2235
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV811980163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse