Basic Information
| Provider Information | |||||||||
| NPI: | 1801114236 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KABATAY | ||||||||
| FirstName: | DULCE | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7720 W SAHARA AVE | ||||||||
| Address2: | STE 103 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891172754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022289888 | ||||||||
| FaxNumber: | 8669200799 | ||||||||
| Practice Location | |||||||||
| Address1: | 7720 W SAHARA AVE | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891172799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023264334 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2010 | ||||||||
| LastUpdateDate: | 08/08/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APN001173 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.