Provider Demographics
NPI:1316833593
Name:SMITH, MARIAH (MA NURSE ASSISTANT)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA NURSE ASSISTANT
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:NICHOLE
Other - Last Name:TERUEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1118 REED CIR
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-9177
Mailing Address - Country:US
Mailing Address - Phone:775-437-3660
Mailing Address - Fax:
Practice Address - Street 1:3595 US HIGHWAY 50 UNIT 2
Practice Address - Street 2:
Practice Address - City:SILVER SPRINGS
Practice Address - State:NV
Practice Address - Zip Code:89429-7370
Practice Address - Country:US
Practice Address - Phone:775-577-6441
Practice Address - Fax:775-577-6566
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty