Provider Demographics
NPI:1982451415
Name:ACOBA, STEPHANIE ROBIANES (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ROBIANES
Last Name:ACOBA
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 AUTUMN HARVEST AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-0804
Mailing Address - Country:US
Mailing Address - Phone:702-234-7840
Mailing Address - Fax:
Practice Address - Street 1:5031 WAGON TRAIL AVE STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2855
Practice Address - Country:US
Practice Address - Phone:725-238-5285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV836880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily