MEDICARE: MARY ANN LORENZO ENRIQUEZ AGPCNP-BC

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	813736	NV
2	363LG0600X	Gerontology Nurse Practitioner	813736	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801362942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN LORENZO ENRIQUEZ AGPCNP-BC

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 W SAHARA AVE STE 36
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3557
Country	:	US
Telephone Number	:	725-433-3364
Fax Number	:	725-433-3366

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

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	01/03/2023

Similar Medicare Providers

1902322548 — DONALD PHAM
Practice Location Address:

4750 W SAHARA AVE STE 36
LAS VEGAS, NV
89102-3557

Practice Phone: 725-433-3364
Practice Fax:

1104577824 — MRS. BRANDI NICOLE BJORNSTAD APRN-CNP
Practice Location Address:

4750 W SAHARA AVE STE 36
LAS VEGAS, NV
89102-3557

Practice Phone: 725-433-3364
Practice Fax:

1639361843 — GREGORY PO DDS
Practice Location Address:

5001 E BONANZA RD , SUITE 160
LAS VEGAS, NV
89110-3557

Practice Phone: 702-307-2273
Practice Fax: 702-307-2275

1417121468 — MARTIN TENDER DENTAL LTD
Practice Location Address:

5001 E BONANZA RD , SUITE 160
LAS VEGAS, NV
89110-3557

Practice Phone: 702-307-2273
Practice Fax: 702-307-2275

1912331752 — JUST RIGHT CARE
Practice Location Address:

1316 W WASHINGTON AVE
LAS VEGAS, NV
89106-3557

Practice Phone: 702-502-7599
Practice Fax:

1851990840 — JOHN MARIUS AGRAVIO TOLENTINO APRN, FNP-C
Practice Location Address:

3557 WINTER WREN ST
LAS VEGAS, NV
89122-3539

Practice Phone: 702-445-4092
Practice Fax:

Directions to “ MARY ANN LORENZO ENRIQUEZ AGPCNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.