Healthcare Provider Details

I. General information

NPI: 1447171947
Provider Name (Legal Business Name): MARISA SVET FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

874 AMERICAN PACIFIC DR
HENDERSON NV
89014-8800
US

IV. Provider business mailing address

6469 MISSION CREST AVE
LAS VEGAS NV
89131-3104
US

V. Phone/Fax

Practice location:
  • Phone: 702-777-8687
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number841255
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: