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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. QUANETTA LINDA BAZILE, PHYSICIAN ASSISTANT

Active

MRS. QUANETTA LINDA BAZILE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1669660221 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAS VEGAS, NV

Registration Details

NPI Number
1669660221
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2007 (18.807140748019 yrs)
Last Updated
Jan 13, 2020
Licenses
PA05764 (TX)
5601004715 (MI)
PA1703 (NV)

Practice Information

Address
3186 S MARYLAND PKWY
LAS VEGAS, NV, 891092317
Browse NV providers · Browse ZIP 89109
Phone
7029617310
Fax
8442314920
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LAS VEGAS, NV

Name Credential NPI
CAROLYN A. DECHAINE PA - C 1649276254
EBERHARD JOHANNES MAENDEL PA-C 1639171283
MR. RICHARD J NUDD PA-C 1346242724
RAYMOND MATHIESON PA-C 1023010576
VERONICA C CALLIER PA 1053303610
MR. ISAAC C GIER PAC 1225022130
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.