Healthcare Provider Details

I. General information

NPI: 1891672093
Provider Name (Legal Business Name): MARCOS ALEJANDRO ARIAS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3730 S EASTERN AVE
LAS VEGAS NV
89169-3321
US

IV. Provider business mailing address

9225 W CHARLESTON BLVD APT 1099
LAS VEGAS NV
89117-7069
US

V. Phone/Fax

Practice location:
  • Phone: 702-952-3400
  • Fax:
Mailing address:
  • Phone: 775-385-5841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number818375
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: