Healthcare Provider Details

I. General information

NPI: 1467379529
Provider Name (Legal Business Name): MARLYN ARCE GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 GREEN VISTA DR STE 101
SPARKS NV
89431-8516
US

IV. Provider business mailing address

332 J ST
SPARKS NV
89431-3209
US

V. Phone/Fax

Practice location:
  • Phone: 775-557-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number831020
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: