Provider Demographics
NPI:1972014454
Name:CHUNYK, MARIKA LENEE (APRN)
Entity Type:Individual
Prefix:
First Name:MARIKA
Middle Name:LENEE
Last Name:CHUNYK
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 1:2460 PASEO VERDE PKWY STE 145
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7142
Mailing Address - Country:US
Mailing Address - Phone:702-820-5713
Mailing Address - Fax:702-820-5713
Practice Address - Street 1:366 W LAKE MEAD PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7287
Practice Address - Country:US
Practice Address - Phone:702-359-5210
Practice Address - Fax:702-997-0475
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine