Provider Demographics
NPI:1457650376
Name:SIOSON, MARIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:SIOSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S 7TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6901
Mailing Address - Country:US
Mailing Address - Phone:702-668-4961
Mailing Address - Fax:
Practice Address - Street 1:720 S 7TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6901
Practice Address - Country:US
Practice Address - Phone:702-668-4961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN54187163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse