MARYANNE DEFOREST PHILLIPS M.D.
NPI 1780698456
Specialist in Las Vegas, NV

Q: What is Maryanne Phillips's NPI number?

The NPI number for Maryanne Phillips is 1780698456. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Maryanne Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Maryanne Phillips was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 28, 2006

5052 JONES BLVD, 135, LAS VEGAS, NV 89118(702) 822-1881(702) 822-1880 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maryanne Deforest Phillips M.d. NPPES

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

MARYANNE DEFOREST PHILLIPS M.D. (NPI 1780698456) is an individual specialist in Las Vegas, Nevada, licensed in Nevada (7635) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1780698456

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMARYANNE DEFOREST PHILLIPSCredential: M.D.

Location Address5052 JONES BLVD, 135Las Vegas, NV 89118

Mailing Address10620 Southern Highlands Pkwy, 110-250Las Vegas, NV 89141-4369 · (702) 822-1881 · Fax (702) 822-1880

Phone(702) 822-1881

Fax(702) 822-1880

Sole ProprietorYes

Enumeration DateJuly 28, 2006

Last NPPES UpdateApril 13, 2012

✔ NPI 1780698456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NV · 7635

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5052 JONES BLVD, Las Vegas, NV 89118

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Other Identifiers 4

Other00A637530CA · Blue Shield

Medicare ID-Type UnspecifiedWA63753ACA

Medicare UPING28692

Medicaid00A637530CA

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 Maryanne Phillips's NPI number?

The NPI number for Maryanne Phillips is 1780698456. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Maryanne Phillips located?

Maryanne Phillips practices at 5052 Jones Blvd 135, Las Vegas, NV 89118. The listed phone number is (702) 822-1881.

What is Maryanne Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Maryanne Phillips was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.