Provider Demographics
NPI:1740998863
Name:MARAPAO, MARIJUNE CLAUDETTE SALOMON (APRN)
Entity type:Individual
Prefix:
First Name:MARIJUNE CLAUDETTE
Middle Name:SALOMON
Last Name:MARAPAO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 PIVOT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-6907
Mailing Address - Country:US
Mailing Address - Phone:714-906-7340
Mailing Address - Fax:
Practice Address - Street 1:133 PIVOT AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-6907
Practice Address - Country:US
Practice Address - Phone:714-906-7340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV860653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily