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DR. MARY SUSAN EMERSON APRN, PHD
NPI 1790784452
Nurse Practitioner - Adult Health in Las Vegas, NV

Active since July 15, 2005
2616 TUMBLE BROOK DR, LAS VEGAS, NV 89134(918) 606-0505 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Susan Emerson Aprn, Phd NPPES

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

DR. MARY SUSAN EMERSON APRN, PHD (NPI 1790784452) is an individual adult health provider in Las Vegas, Nevada, licensed in Missouri (063436) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1790784452
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. MARY SUSAN EMERSONCredential: APRN, PHD
Location Address2616 TUMBLE BROOK DRLas Vegas, NV 89134-7869
Mailing Address2616 Tumble Brook DrLas Vegas, NV 89134-7869 · (918) 606-0505
Phone(918) 606-0505
Sole ProprietorYes
Enumeration DateJuly 15, 2005
Last NPPES UpdateFebruary 17, 2015
✔ NPI 1790784452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 063436
2616 TUMBLE BROOK DR, Las Vegas, NV 89134
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Other Identifiers 3

Medicare ID-Type Unspecified2638309AMO
Medicare UPINS53458MO
Medicaid425324506MO

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 Mary Emerson's NPI number?

The NPI number for Mary Emerson is 1790784452. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Mary Emerson located?

Mary Emerson practices at 2616 Tumble Brook Dr, Las Vegas, NV 89134. The listed phone number is (918) 606-0505.

What is Mary Emerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Emerson was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.