Provider Demographics
NPI:1568266104
Name:HOLCOMB, MALARIE Q (RN)
Entity type:Individual
Prefix:
First Name:MALARIE
Middle Name:Q
Last Name:HOLCOMB
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 LAS PALMAS ENTRADA AVE APT 1818
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5626
Mailing Address - Country:US
Mailing Address - Phone:702-701-0851
Mailing Address - Fax:
Practice Address - Street 1:951 LAS PALMAS ENTRADA AVE APT 1818
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5626
Practice Address - Country:US
Practice Address - Phone:702-701-0851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV830307163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory