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LISA KATHERINE TABOR APRN ACNP-BC NPI 1285631044


NPI Information

NPI: 1285631044
Provider Name: LISA KATHERINE TABOR, APRN, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
6545 S FORT APACHE RD STE 135-228
LAS VEGAS, NV
ZIP 89148
Phone: (337) 804-2049
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Lisa Katherine Tabor, APRN, ACNP-BC is an acute care nurse practitioner in Las Vegas, NV. Lisa Katherine Tabor, APRN, ACNP-BC NPI is 1285631044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6545 S FORT APACHE RD STE 135-228
LAS VEGAS, NV
ZIP 89148-752
Phone: (337) 804-2049
Fax: (877) 866-3181

The enumeration date for this NPI number is 7/7/2005 and was last updated on 6/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute CareAPRN002065NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11477427MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.