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ABEBE MEDICAL LLC
NPI 1972266989
Nurse Practitioner - Gerontology in Las Vegas, NV

Active since October 17, 2021
3483 S EASTERN AVE, LAS VEGAS, NV 89169(702) 309-2311 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abebe Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABEBE MEDICAL LLC (NPI 1972266989) is a healthcare organization registered as a gerontology in Las Vegas, Nevada and active in the NPI registry since October 2021. The organization lists Enzi Abebe, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1972266989
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameABEBE MEDICAL LLC
Location Address3483 S EASTERN AVELas Vegas, NV 89169-3314
Mailing Address47 E Agate Ave Unit 408Las Vegas, NV 89123-6061 · (702) 588-8408
Phone(702) 309-2311
Organization SubpartNo
Authorized OfficialEnzi AbebeOwner/provider · (702) 588-8408
Enumeration DateOctober 17, 2021
NPPES CertifiedOctober 17, 2021
✔ NPI 1972266989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
3483 S EASTERN AVE, Las Vegas, NV 89169
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYA WERRA APRN-CNP
Nurse Practitioner
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 309-2311
ZONIA FIESTA APRN LLC
Nurse Practitioner (Family)
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 271-4959
REZA VAGHEFI HOSSEINI MD
Internal Medicine (Infectious Disease)
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 309-2311
ZONIA DUMLAO FIESTA APRN,MSN, FNP-BC
Nurse Practitioner (Family)
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 309-2311
RONALD A SHOCKLEY M.D.
Internal Medicine (Infectious Disease)
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 309-2311
ARASIBA LLC
Nurse Practitioner (Family)
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 813-4720
ENZI ABEBE APRN
Nurse Practitioner (Gerontology)
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 309-2311
HIROMICHI S PARK DO
Internal Medicine (Infectious Disease)
3483 S EASTERN AVE
LAS VEGAS, NV 89169
Clark County (702) 309-2311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abebe Medical LLC's NPI number?

The NPI number for Abebe Medical LLC is 1972266989. It was assigned to this organization in the NPPES registry on October 17, 2021.

Where is Abebe Medical LLC located?

Abebe Medical LLC is located at 3483 S Eastern Ave, Las Vegas, NV 89169. The listed phone number is (702) 309-2311.

What is Abebe Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Abebe Medical LLC was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.