Individual
MRS. MARA LEANNA KRISTINA ALICDAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-3648
(702) 383-2627
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN80211
NV
363LF0000X
Family Nurse Practitioner
Primary
873782
NV
Other
Enumeration date
11/14/2023
Last updated
10/15/2025
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