MARLEE BEAUCHAMP PA NPI 1770222952

NPI Information

  • NPI: 1770222952
  • Provider Name: MARLEE BEAUCHAMP, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5320 S RAINBOW BLVD STE 150
    LAS VEGAS, NV
    ZIP 89118
  • Phone: (702) 944-7105

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NPI Details

Marlee Beauchamp, PA is a medical physician assistant in Las Vegas, NV with 3 years of experience. Marlee Beauchamp, PA NPI is 1770222952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2022

The provider's business location address is:

5320 S RAINBOW BLVD STE 150
LAS VEGAS, NV
ZIP 89118-807
Phone: (702) 944-7105
Fax: (702) 944-7110

The NPI 1770222952 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2022 and was last updated on 1/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA2733NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA2733OTHERNEVADASTATE LICENSE
21770222952MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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