Provider Demographics
NPI:1770450942
Name:CABREROS, WENNIE
Entity type:Individual
Prefix:
First Name:WENNIE
Middle Name:
Last Name:CABREROS
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 1:8376 ARUBA BLUE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-4690
Mailing Address - Country:US
Mailing Address - Phone:702-910-8527
Mailing Address - Fax:
Practice Address - Street 1:8376 ARUBA BLUE CREEK CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-4690
Practice Address - Country:US
Practice Address - Phone:702-910-8527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV893555251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health