Individual
MARISA HEENAN-NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9188 DESERT HEAT AVE, LAS VEGAS, NV 89178-6218
(702) 673-7439
Mailing address
9188 DESERT HEAT AVE, LAS VEGAS, NV 89178-6218
(702) 673-7439
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
891039
NV
163WH0200X
Home Health Registered Nurse
891039
NV
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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