Individual
MARIE KOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4895 BOULDER HWY STE 101, LAS VEGAS, NV 89121-3087
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002448
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861931636
—
NV
Enumeration date
02/14/2017
Last updated
09/17/2019
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