Provider Demographics
NPI:1801114236
Name:KABATAY, DULCE S (APRN)
Entity type:Individual
Prefix:
First Name:DULCE
Middle Name:S
Last Name:KABATAY
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 1:7720 W SAHARA AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2754
Mailing Address - Country:US
Mailing Address - Phone:702-228-9888
Mailing Address - Fax:866-920-0799
Practice Address - Street 1:7720 W SAHARA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2799
Practice Address - Country:US
Practice Address - Phone:702-326-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001173363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily