Provider Type Icon

MARISSA SCHANBACHER ADOLFO AGPC-BC;APRN NPI 1700302791


NPI Information

NPI: 1700302791
Provider Name: MARISSA SCHANBACHER ADOLFO, AGPC-BC;APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: VEGAS VALLEY PRIMARY CARE

PECOS Registration: Yes

Address:
848 PASEO CERRO PL
LAS VEGAS, NV
ZIP 89138
Phone: (702) 523-8450
Get Directions

Marissa Schanbacher Adolfo, AGPC-BC;APRN is a gerontology nurse practitioner in Las Vegas, NV with 7 years of experience. Marissa Schanbacher Adolfo, AGPC-BC;APRN NPI is 1700302791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

848 PASEO CERRO PL
LAS VEGAS, NV
ZIP 89138-096
Phone: (702) 523-8450

The NPI 1700302791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2017 and was last updated on 3/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologyTAPRN701672NEVADANo
2363LG0600XNurse PractitionerGerontologyAPRN002680NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.