Provider Demographics
NPI:1871128983
Name:MERAYO MEJIAS, MIRIELYS (FNP)
Entity type:Individual
Prefix:
First Name:MIRIELYS
Middle Name:
Last Name:MERAYO MEJIAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5375 S FORT APACHE RD STE AND103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-7623
Mailing Address - Country:US
Mailing Address - Phone:702-463-9159
Mailing Address - Fax:702-463-6611
Practice Address - Street 1:5375 S FORT APACHE RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7623
Practice Address - Country:US
Practice Address - Phone:702-463-9159
Practice Address - Fax:702-463-6611
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV834918363LF0000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101Y00000XBehavioral Health & Social Service ProvidersCounselor