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NPI Code Detail

MEDICARE: KATIE ANN MARRERO MD

MEDICARE:   KATIE ANN MARRERO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician28406NV
2208600000XSurgery PhysicianMD484744PA

General Provider Information

NPI Number : 1114580321
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE ANN MARRERO MD
Provider Business Mailing Address
First Line : 5380 S RAINBOW BLVD STE 320
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1880
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6900 N DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4409
Country : US
Telephone Number : 702-835-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 12/04/2025

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Directions to “ KATIE ANN MARRERO MD” Practice Location

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