Provider Demographics
NPI:1891599122
Name:GABUTEN, KIMBERLY-ASHLEY T (RN)
Entity type:Individual
Prefix:
First Name:KIMBERLY-ASHLEY
Middle Name:T
Last Name:GABUTEN
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 E FLAMINGO RD STE 170
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5186
Mailing Address - Country:US
Mailing Address - Phone:725-333-7149
Mailing Address - Fax:702-839-0095
Practice Address - Street 1:2235 E FLAMINGO RD STE 170
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5186
Practice Address - Country:US
Practice Address - Phone:725-333-7149
Practice Address - Fax:702-839-0095
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV883011163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse