Provider Demographics
NPI:1770794539
Name:MEHTA, MARJAANA (DNP, APRN, AOCNP)
Entity type:Individual
Prefix:MRS
First Name:MARJAANA
Middle Name:
Last Name:MEHTA
Suffix:
Gender:F
Credentials:DNP, APRN, AOCNP
Other - Prefix:MS
Other - First Name:MARJAANA
Other - Middle Name:
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6900 N. PECOS RD
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-4400
Mailing Address - Country:US
Mailing Address - Phone:702-791-9000
Mailing Address - Fax:702-224-6908
Practice Address - Street 1:6900 N. PECOS RD
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:702-224-6908
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN000787363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP43724Medicare UPIN