Physician Assistant
Mrs. QUANETTA BAZILE Physician Assistant
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1669660221 · enumerated 2007-10-09 · record updated 2020-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 3186 S MARYLAND PKWY, LAS VEGAS, NV, 89109-2317 (702) 961-7310 Fax (844) 231-4920 Google Maps Apple Maps OpenStreetMap
- Mailing address 3186 S MARYLAND PKWY, LAS VEGAS, NV, 89109-2317 (702) 961-7310 Fax (844) 231-4920 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PA05764 TX
- Physician Assistant 363A00000X · License 5601004715 MI
- Physician Assistant 363A00000X · Primary · License PA1703 NV
In this directory
Locations and evidence
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Practice location
LAS VEGAS, NV, 891092317
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.