Marilyn Bishop Davis
Individual provider Active NPI Counselor · Las Vegas, NV
NPI 1013761683 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1013761683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755 - Phone
- (702) 209-0370
- NPI assigned
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Health Clinics LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755
Mailing address
6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sunriseclinics.org |
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.