Provider Demographics
NPI:1841403904
Name:COHEN, MARCIA A (BS, RN, APN)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:A
Last Name:COHEN
Suffix:
Gender:F
Credentials:BS, RN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8430 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7672
Mailing Address - Country:US
Mailing Address - Phone:702-576-9870
Mailing Address - Fax:702-576-9594
Practice Address - Street 1:8430 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7672
Practice Address - Country:US
Practice Address - Phone:702-576-9870
Practice Address - Fax:702-576-9594
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN00472363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV112047Medicare PIN