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NPI 1154522134 · live from the CMS NPI Registry

Marcia A Clevesy, APN

Nurse Practitioner, Obstetrics & Gynecology in Las Vegas, NV. National Provider Identifier 1154522134, active.

NPI record

NPI1154522134 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Obstetrics & Gynecology 363LX0001X
Practice location1950 Pinto Ln, Las Vegas, NV 89106
Practice phone702-439-4537
Mailing addressPo Box 5715981, Las Vegas, NV 89157
EnumeratedMay 29, 2007
Last updatedSeptember 10, 2012
Sole proprietorNo
Other namesMarcia Poulin

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Obstetrics & Gynecology primary363LX0001XAPN 000868 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.