Provider Demographics
NPI:1982885513
Name:ABARQUEZ, SENIALITA SANTOS (APRN)
Entity Type:Individual
Prefix:
First Name:SENIALITA
Middle Name:SANTOS
Last Name:ABARQUEZ
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:PO BOX 81316
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-1316
Mailing Address - Country:US
Mailing Address - Phone:702-750-1655
Mailing Address - Fax:702-750-1655
Practice Address - Street 1:4454 N-DECATUR BLVD.
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130
Practice Address - Country:US
Practice Address - Phone:702-839-1203
Practice Address - Fax:702-839-1301
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000999363LF0000X
NVAPRN000999363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily