Individual
MEGAN R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28176882A
IN
163WM0705X
Medical-Surgical Registered Nurse
APRN002621
NV
363LA2200X
Adult Health Nurse Practitioner
71003807A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN002621
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000740488
ANTHEM PROVIDER NUMBER
IN
05
—
1790072114
—
NV
05
—
201042250
—
IN
Enumeration date
07/06/2011
Last updated
12/12/2023
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