MARY MANOHARAN


Address: 1240 N Mlk Blvd, Las Vegas, NV 89106-2825
Phone: 7029670530

MARY MANOHARAN (NPI# 1275037517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275037517
Entity Type Individual
Full Name MARY MANOHARAN
Practice Address 1240 N Mlk Blvd
Las Vegas
NV 89106-2825
Mailing Address 8552 Windsor Run St
Las Vegas
NV 89139-6820
Practice Telephone 7029670530
Enumeration Date 2018-03-21
Last Update Date 2018-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN001221 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1240 N MLK BLVD
City LAS VEGAS
State NV
Zip Code 89106-2825

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417555772 Graciela Miranda Cocorpio Technician 820 Rancho Ln Suite #40, Las Vegas, NV 89106 2020-10-09
1679101679 A Better You Wellness Center Counselor 320 W Monroe Street, Las Vegas, NV 89106 2020-03-27
1730725177 Mariah La'neese Jones Rehabilitation Practitioner 400 Shadow Lane Ste 106, Las Vegas, NV 89106 2019-11-20
1417592841 Lourdes Rita Apumayta-paredes Technician 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 2019-11-08
1902456551 Marisela Pena Technician 820 Rancho Ln., 25, Las Vegas, NV 89106 2019-09-16
1992368724 Amber Nicole Mahajan Nurse Practitioner 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 2019-04-17
1568924215 Arlandrea Tarvins Behavioral Analyst 1048 Miller Ave, Las Vegas, NV 89106 2019-04-02
1427510361 Erik Pennell Student in an Organized Health Care Education/Training Program 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 2019-04-01
1245702729 Bruce Mark Babb Technician 820 Rancho Lane Ste #40, Las Vegas, NV 89106 2018-12-21
1639649213 Antonio Ruiz Pelfort Technician 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 2018-11-27
Find all providers in zip 89106

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326649468 Mary Denisse Toribio Nurse Practitioner 138 Lomita Heights Dr, Las Vegas, NV 89138-6158 2020-11-05
1407315344 Delfina Simpson Nurse Practitioner 8680 W Warm Springs Rd Ste 155, Las Vegas, NV 89148-1828 2019-03-19
1801362942 Mary Ann Lorenzo Enriquez Nurse Practitioner 6870 S Rainbow Blvd Ste 107, Las Vegas, NV 89118-2107 2018-10-16
1164901245 Jasmina Santos Fornbacher Nurse Practitioner 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120-3768 2018-08-09
1487192308 Hannah Harris-austin Nurse Practitioner 494 Redruth Dr, Las Vegas, NV 89178-1244 2017-02-11
1275908444 Theophilus Mbi Akoh Nurse Practitioner 2831 Business Park Ct Ste 110, Las Vegas, NV 89128-9000 2015-12-14
1245625284 Diversified Health Care Services LLC Nurse Practitioner 4550 W Oakey Blvd Ste 111-n, Las Vegas, NV 89102-1581 2015-04-06
1114270899 Karissa Tan Nurse Practitioner 4750 W Oakey Blvd Ste 2b, Las Vegas, NV 89102-1535 2012-10-18
1053690362 Yamilka Castillo Gongora Nurse Practitioner 4275 Burnham Ave Ste 210, Las Vegas, NV 89119-5400 2011-08-04
1740584234 Boja M Lemich Nurse Practitioner 6773 W Charleston Blvd, Las Vegas, NV 89146 2010-12-27
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Competitor

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City LAS VEGAS
Zip Code 89106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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