IndividualActive
Marisa Heenan-Niles, RN
NPI 1154211357 · General Practice Registered Nurse · Las Vegas, NV
Provider details
- NPI number
- 1154211357
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 891039 (NV)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
9188 Desert Heat Ave
Las Vegas, NV 89178-6218
Phone: (702) 673-7439
Approximate (ZIP-level) locationGet directions
Mailing address
9188 Desert Heat Ave
Las Vegas, NV 89178-6218
Registry dates
- Enumerated
- 2025-07-08
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.