Provider Demographics
NPI:1184336398
Name:MAAS, RACHELLE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:MAAS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 SAN VITO ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-7222
Mailing Address - Country:US
Mailing Address - Phone:702-743-6628
Mailing Address - Fax:
Practice Address - Street 1:2590 NATURE PARK DR STE 135
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-3187
Practice Address - Country:US
Practice Address - Phone:702-743-6628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV862421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily