Individual
MARLEE BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5320 S RAINBOW BLVD STE 150, LAS VEGAS, NV 89118-1807
(702) 944-7105
(702) 944-7110
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2733
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770222952
—
NV
01
—
PA2733
STATE LICENSE
NV
Enumeration date
06/03/2022
Last updated
01/06/2025
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