Provider Demographics
NPI:1336859602
Name:TAPIA-NICHOLES, LEAH I (APRN)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:I
Last Name:TAPIA-NICHOLES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:10624 S EASTERN AVE STE A
Mailing Address - Street 2:PMB 873
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2983
Mailing Address - Country:US
Mailing Address - Phone:702-478-5111
Mailing Address - Fax:702-602-9012
Practice Address - Street 1:3039 W HORIZON RIDGE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4193
Practice Address - Country:US
Practice Address - Phone:702-478-5111
Practice Address - Fax:702-602-9012
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV857572363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health