Healthcare Provider Details

I. General information

NPI: 1316516321
Provider Name (Legal Business Name): MARICELA CHRISTINE HARFORD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-2731
US

IV. Provider business mailing address

217 VALARE ST
HENDERSON NV
89012-4847
US

V. Phone/Fax

Practice location:
  • Phone: 800-640-3451
  • Fax:
Mailing address:
  • Phone: 702-354-8388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number844877
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN59552
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: