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MR. MARSEAN JERELLE HARDAWAY YOUTH INTAKE ADMIN
NPI 1245910413
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since July 21, 2023
9001 HAVILAND RD, LAS VEGAS, NV 89123(702) 462-0067 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Marsean Jerelle Hardaway Youth Intake Admin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARSEAN JERELLE HARDAWAY YOUTH INTAKE ADMIN (NPI 1245910413) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1245910413
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MARSEAN JERELLE HARDAWAYCredential: YOUTH INTAKE ADMIN
Location Address9001 HAVILAND RDLas Vegas, NV 89123-0619
Mailing AddressPo Box 633Salt Lake City, UT 84110-0633 · (170) 246-2006
Phone(702) 462-0067
Sole ProprietorNo
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1245910413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X
9001 HAVILAND RD, Las Vegas, NV 89123
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marsean Hardaway's NPI number?

The NPI number for Marsean Hardaway is 1245910413. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Marsean Hardaway located?

Marsean Hardaway practices at 9001 Haviland Rd, Las Vegas, NV 89123. The listed phone number is (702) 462-0067.

What is Marsean Hardaway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marsean Hardaway was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.