Provider Demographics
NPI:1770515686
Name:MCCARTHY, L. NIKI (APN)
Entity type:Individual
Prefix:MS
First Name:L. NIKI
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:L. NIKI
Other - Middle Name:
Other - Last Name:SKYBORG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:8414 WEST FARM RD. #180-314
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131
Mailing Address - Country:US
Mailing Address - Phone:702-875-2684
Mailing Address - Fax:
Practice Address - Street 1:6800 W CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-4590
Practice Address - Country:US
Practice Address - Phone:702-658-8800
Practice Address - Fax:702-658-1079
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily