MEDICARE: MS. JANET L MARAN APRN

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
1	363LA2200X	Adult Health Nurse Practitioner	APN000665	NV

General Provider Information

NPI Number	:	1225095904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET L MARAN APRN

Provider Business Mailing Address
First Line	:	10966 AMPUS PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3800
Country	:	US
Telephone Number	:	702-614-7847
Fax Number	:

Provider Business Practice Location Address
First Line	:	10966 AMPUS PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3800
Country	:	US
Telephone Number	:	702-614-7847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	02/13/2012

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