Provider Demographics
NPI:1386310514
Name:MAPA, ANDREA NINA DESEMBRANA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREA NINA
Middle Name:DESEMBRANA
Last Name:MAPA
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:ANDREA-NINA
Other - Middle Name:DESEMBRANA
Other - Last Name:MAPA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, FNP-C
Mailing Address - Street 1:7995 BLUE DIAMOND RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-9408
Mailing Address - Country:US
Mailing Address - Phone:702-833-1267
Mailing Address - Fax:702-919-1267
Practice Address - Street 1:400 STEWART AVE # METRO1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2913
Practice Address - Country:US
Practice Address - Phone:702-833-1267
Practice Address - Fax:702-919-1267
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV836347363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner