Maria Gina Agnir, APRN
Individual provider Active NPI Family Nurse Practitioner · Las Vegas, NV
NPI 1073154183 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1073154183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 822083 (NV)
- Practice address
- 3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226 - Phone
- (702) 254-5437
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 822083 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjay Kandoth MD PC | Past |
Accepting new patients | |
| Sanjay Kandoth MD PC | Past |
Accepting new patients |
Interoperability endpoints
- maria.gina.agnir.1@15442.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 822083 | NV | Yes |
Addresses
Primary practice location
3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226
Mailing address
PO Box 60515
Las Vegas, NV 89160-0515
Other practice location 1
7875 S Rainbow Blvd Ste 102
Las Vegas, NV 89139-6470
Phone (702) 361-5437
Other practice location 2
1701 N Green Valley Pkwy Ste 10A
Henderson, NV 89074-5991
Phone (702) 766-5437
Other practice location 3
7200 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-1116
Phone (702) 820-5437
Other providers in Las Vegas, NV
- Lia Agliam
- Danielle Agnello
- Agnes Schaffer
- Emma Agnew
- Lisa Elaine Agnew
- Tabitha Delacruz Agnir
- Haydeelyn Agojo
- Katrina Paula Agojo
- Evangeline Agoncillo
- Crissana Agonoy
All providers in Las Vegas, NV · Family Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. 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.