MEDICARE: MRS. MARINA IUREVNA GORIAINOVA RN

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	163WH0200X	Home Health Registered Nurse	859117	NV

General Provider Information

NPI Number	:	1871456749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARINA IUREVNA GORIAINOVA RN

Provider Business Mailing Address
First Line	:	1851 N GREEN VALLEY PKWY APT 2022
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-5806
Country	:	US
Telephone Number	:	702-505-6343
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 N GREEN VALLEY PKWY APT 2022
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-5806
Country	:	US
Telephone Number	:	702-505-6343
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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