Individual provider · Type 1 NPI
Mara Leanna Kristina Alicdan Bishop, APRN
Family Nurse Practitioner · Las Vegas, NV
NPI number
1417721986
Active
Practice location
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Fax (702) 383-2627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 873782 (NV) |
| Registered Nurse | 163W00000X | RN80211 (NV) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417721986
Mara Leanna Kristina Alicdan Bishop, APRN's National Provider Identifier is 1417721986, issued on Nov 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 15, 2025.