Healthcare Provider Details

I. General information

NPI: 1134034671
Provider Name (Legal Business Name): MARIA COKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 BARRETT SPRINGS AVE
HENDERSON NV
89044-1613
US

IV. Provider business mailing address

3005 BARRETT SPRINGS AVE
HENDERSON NV
89044-1613
US

V. Phone/Fax

Practice location:
  • Phone: 702-326-3857
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberIC-3042
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: