Provider Demographics
NPI:1174064083
Name:POMERANZ, MARCELLA (BC-AGNP)
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:
Last Name:POMERANZ
Suffix:
Gender:F
Credentials:BC-AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 W SAHARA AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0355
Mailing Address - Country:US
Mailing Address - Phone:702-271-0934
Mailing Address - Fax:702-633-0254
Practice Address - Street 1:5440 W SAHARA AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0355
Practice Address - Country:US
Practice Address - Phone:702-271-0934
Practice Address - Fax:702-633-0254
Is Sole Proprietor?:No
Enumeration Date:2017-03-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002476363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health