Provider Demographics
NPI:1053767335
Name:CONCON, ABEGAIL (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ABEGAIL
Middle Name:
Last Name:CONCON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3017 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 60
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-778-5100
Mailing Address - Fax:702-778-5101
Practice Address - Street 1:3017 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 60
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-778-5100
Practice Address - Fax:702-778-5101
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN002158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily