Provider Demographics
NPI:1376363804
Name:JEREZA, MARIA RHOTCHIE DELGADO (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARIA RHOTCHIE
Middle Name:DELGADO
Last Name:JEREZA
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:DELGADO
Other - Last Name:JEREZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:3087 E WARM SPRINGS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3754
Mailing Address - Country:US
Mailing Address - Phone:775-461-5773
Mailing Address - Fax:775-387-4605
Practice Address - Street 1:3087 E WARM SPRINGS RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3754
Practice Address - Country:US
Practice Address - Phone:775-461-5773
Practice Address - Fax:775-387-4605
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV883846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty