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Individual

MR. MARCUS ALLAN PERRERAS MERCADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
384 WIND POPPY ST, LAS VEGAS, NV 89138-6265
(310) 920-1130
Mailing address
384 WIND POPPY ST, LAS VEGAS, NV 89138-6265

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
872562
NV
363LF0000X
Family Nurse Practitioner
95000176
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1607745091
NV DRIVERS LICENSE
NV
01
872562
NV BOARD OF NURSING NP LICENSE #
NV
01
NP95000176
CA BOARD OF NURSING NP LICENSE #
CA
Enumeration date
06/11/2014
Last updated
04/23/2025
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