Abregunda, Bernadette Payumo
Abregunda, Bernadette Payumo is an individual health care provider with primary practice located at 5771 S Fort Apache Rd Ste 100 , Las Vegas NV 89148-5626. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Abregunda, Bernadette Payumo can be contacted via phone (702) 951-3400.Contact Information
Primary practice address
5771 S Fort Apache Rd Ste 100
Las Vegas NV 89148-5626
Phone: (702) 951-3400
Fax: (702) 951-3403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP126948 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP126948 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP126948 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 844939 | Nevada |
Profile Details
| NPI number | 1861899841 |
|---|---|
| LBN Legal business name | Abregunda, Bernadette Payumo |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Jun 24th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861899841 | NPPES |
| Nevada | MEDICAID | 1861899841 | |
| Nevada | Other | 412738ZSJC | |
| Nevada | MEDICAID | 0346209502 | |
| Nevada | MEDICAID | 3462095-05 | |
| Nevada | Other | 844939 | |
| Nevada | Other | P01666642 |
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