Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 823273 | NV |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 823273 | NV |
NPI | 1023401999 |
---|---|
Provider Name | Dr. Marie Ann Luback-Neves |
First Address | Las Vegas, NV 89103-6802 |
Second Address | Reno, NV 89509-6129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2015 |
Last Update Date | 08/01/2021 |