Healthcare Provider Details

I. General information

NPI: 1588388110
Provider Name (Legal Business Name): MARY ELIZABETH ADLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 10/12/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8526 DEL WEBB BLVD
LAS VEGAS NV
89134-8676
US

IV. Provider business mailing address

3645 TORRES NOVAS LN
HENDERSON NV
89044-1973
US

V. Phone/Fax

Practice location:
  • Phone: 866-686-2504
  • Fax:
Mailing address:
  • Phone: 702-343-5230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1074693
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: