Provider Demographics
NPI:1073985354
Name:HUERTA, MARIA CLAUDIA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CLAUDIA
Last Name:HUERTA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N LAMB BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-4674
Mailing Address - Country:US
Mailing Address - Phone:702-459-2401
Mailing Address - Fax:702-459-2405
Practice Address - Street 1:216 N LAMB BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-4674
Practice Address - Country:US
Practice Address - Phone:702-459-2401
Practice Address - Fax:702-459-2405
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily