MARISSA SCHANBACHER ADOLFO


Address: 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096
Phone: (702) 523-8450

MARISSA SCHANBACHER ADOLFO (NPI# 1700302791) 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) 1700302791
Entity Type Individual
Full Name MARISSA SCHANBACHER ADOLFO
Other Name MARISSA SCHANBACHER
Credential AGPC-BC;APRN
Practice Address 848 Paseo Cerro Pl
Las Vegas
NV 89138-6096
Practice Telephone (702) 523-8450
Mailing Telephone 7025238450
Enumeration Date 2017-08-21
Last Update Date 2017-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
TAPRN701672 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 848 PASEO CERRO PL
City LAS VEGAS
State NV
Zip Code 89138-6096

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89138

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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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