SearchNevada1041C0700X

Marissa Blodgett

NPI 1699279216 · on the registry since 2018

Practice

Address
7461 Tucker William St
Las Vegas, NV 89149
Phone
(702) 580-8516

Additional practice sites

  • 7040 Laredo St Ste K, Las Vegas, NV
  • 8685 S Eastern Ave, Las Vegas, NV

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
171M00000X
225400000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-01

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