| Ms Lisa Abiuso-hayes, PMHNP-BC | |
| 
					4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600  | |
| (702) 653-2273 | |
| (702) 653-3883 | 
| Full Name | Ms Lisa Abiuso-hayes | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992203566 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP9203708 (Florida) | Primary | 
| Entity Name | Angeles Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609327931 PECOS PAC ID: 9830472372 Enrollment ID: O20170208001056  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Lisa Abiuso-hayes, PMHNP-BC 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273  | Ms Lisa Abiuso-hayes, PMHNP-BC 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273  | 
Kealie Mehr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273  | |
Susanna Tiffany Pruangkarn, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273  | |
James Scot Fite, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273  | |
Kimberly M Kittleson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2965  | |
Nancy Joan Heisterman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Amds/sgpt, Nellis Afb, NV 89191 Phone: 702-653-2890 Fax: 702-653-2549  | |
Deborah Cochran,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2300  | |
Elizabeth S Green, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3116  |