Provider Demographics
NPI:1023401999
Name:LUBACK-NEVES, MARIE ANN (DNP, MBA, APRN, FNP-)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:ANN
Last Name:LUBACK-NEVES
Suffix:
Gender:F
Credentials:DNP, MBA, APRN, FNP-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 GYPSUM RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1202
Mailing Address - Country:US
Mailing Address - Phone:775-339-3056
Mailing Address - Fax:888-494-1158
Practice Address - Street 1:110 COUNTRY ESTATES CIR STE 1
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4016
Practice Address - Country:US
Practice Address - Phone:775-339-3056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN20727163W00000X
NV823273363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily