Organization
MCGINNIS MICA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE M MCGINNIS DNP, APRN, FNP-C (PRESIDENT)
(702) 706-4362
Entity
Organization
Contact information
Practice address
1550 W ELLIOTT AVE, # 300, BEATTY, NV 89003-0300
(702) 706-4362
(877) 991-6606
Mailing address
PO BOX 300, BEATTY, NV 89003-0300
(702) 706-4362
(877) 991-6606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001078
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114393568
—
NV
Enumeration date
08/19/2015
Last updated
12/29/2025
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