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NPI Code Detail

MEDICARE: MARCELLA POMERANZ BC-AGNP

MEDICARE: MARCELLA POMERANZ BC-AGNP
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
1363LA2200XAdult Health Nurse PractitionerAPRN002476NV

General Provider Information

NPI Number : 1174064083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELLA POMERANZ BC-AGNP
Provider Business Mailing Address
First Line : 5440 W SAHARA AVE
Second Line : SUITE 302
City : LAS VEGAS
State : NV
Zip : 89146-0355
Country : US
Telephone Number : 702-271-0934
Fax Number : 702-633-0254
Provider Business Practice Location Address
First Line : 5440 W SAHARA AVE
Second Line : SUITE 302
City : LAS VEGAS
State : NV
Zip : 89146-0355
Country : US
Telephone Number : 702-271-0934
Fax Number : 702-633-0254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2017
Last Update Date : 04/10/2025

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Directions to “ MARCELLA POMERANZ BC-AGNP” Practice Location

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