Individual provider · NPI-1

Soudabeh Abdi, FNP

Nurse Practitioner, Family · Henderson, NV

NPI number1295454387
StatusActive
Last updated in NPPESAug 23, 2022

Details

NPI
1295454387
Entity type
Individual (NPI-1)
Name
Soudabeh Abdi
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2022
Certification date
Aug 23, 2022
Last updated
Aug 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family855207NVYes

Practice location

291 N Pecos Rd
Henderson, NV 89074-1918

Phone 702-616-9471

Mailing address

2729 Youngdale Dr
Las Vegas, NV 89134-7864

Phone 702-601-6089

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