IndividualActive
Marticka Tillman, RN
NPI 1346866795 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Las Vegas, NV
Provider details
- NPI number
- 1346866795
- Entity type
- Individual
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- NV20201768213 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
900 S Valley View Blvd Ste 195
Las Vegas, NV 89107-4430
Phone: (702) 960-0003
Approximate (ZIP-level) locationGet directions
Mailing address
900 S Valley View Blvd Ste 195
Las Vegas, NV 89107-4430
Registry dates
- Enumerated
- 2020-06-22
- Last updated
- 2020-06-22
- Certified
- 2020-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.