BRANDON DABU NPI 1457641979

NPI Information

  • NPI: 1457641979
  • Provider Name: BRANDON DABU
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5524 S. FORT APACHE RD.
    LAS VEGAS, NV
    ZIP 89148
  • Phone: (702) 664-9614

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NPI Details

Brandon Dabu is a psychiatric/mental health nurse practitioner in Las Vegas, NV with 2 years of experience. Brandon Dabu NPI is 1457641979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2023

The provider's business location address is:

5524 S. FORT APACHE RD.
LAS VEGAS, NV
ZIP 89148-668
Phone: (702) 664-9614

The NPI 1457641979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2011 and was last updated on 6/7/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1167G00000XLicensed Psychiatric Technician35648CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health876341NEVADAYes

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: 11/21/2025

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