MARISSA POTOCNY LPN
NPI 1891594701
Licensed Practical Nurse in Las Vegas, NV

Q: What is Marissa Potocny's NPI number?

The NPI number for Marissa Potocny is 1891594701. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Q: What is Marissa Potocny's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Potocny was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 March 12, 2025

4423 W FLAMINGO RD, LAS VEGAS, NV 89103(702) 458-1137(702) 458-1423 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marissa Potocny Lpn NPPES

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

MARISSA POTOCNY LPN (NPI 1891594701) is an individual licensed practical nurse in Las Vegas, Nevada, licensed in Nevada (LPN17702) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1891594701

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARISSA POTOCNYCredential: LPN

Location Address4423 W FLAMINGO RDLas Vegas, NV 89103-3703

Mailing Address4423 W Flamingo RdLas Vegas, NV 89103-3703 · (702) 458-1137 · Fax (702) 458-1423

Phone(702) 458-1137

Fax(702) 458-1423

Sole ProprietorNo

Enumeration DateMarch 12, 2025

NPPES CertifiedMarch 12, 2025

✔ NPI 1891594701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NV · LPN17702

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4423 W FLAMINGO RD, Las Vegas, NV 89103

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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