Marissa Hannah, OTA-3130

NPI 1447016779 · on the registry since 2024 · sole proprietor

Practice

Address: 601 Adams Blvd
Boulder City, NV 89005
Phone: (702) 293-5151
Organisation at this address: Boulder City Nv Opco Llc
Pinnacle Health Facilities Xxxi L P
Thi Of Nevada Ii At Boulder City, Llc
Thi Of Nevada Ii At Boulder City, Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

2490 Paseo Verde Pkwy Ste 155, Henderson, NV

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada