Provider Demographics
NPI:1861715153
Name:GARMA, MARY ANN S (APN)
Entity type:Individual
Prefix:
First Name:MARY ANN
Middle Name:S
Last Name:GARMA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3150 N TENAYA WAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0443
Mailing Address - Country:US
Mailing Address - Phone:702-685-8392
Mailing Address - Fax:702-475-5219
Practice Address - Street 1:3150 N TENAYA WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0443
Practice Address - Country:US
Practice Address - Phone:702-685-8392
Practice Address - Fax:702-475-5219
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN001178363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner