Provider Demographics
NPI:1659160976
Name:MECHAL, SEMARIA (FNP)
Entity type:Individual
Prefix:
First Name:SEMARIA
Middle Name:
Last Name:MECHAL
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:SEMARIA
Other - Middle Name:
Other - Last Name:KASSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5060 W HACIENDA AVE APT 2060
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-0345
Mailing Address - Country:US
Mailing Address - Phone:310-415-3771
Mailing Address - Fax:
Practice Address - Street 1:9280 W SUNSET RD STE 414
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4862
Practice Address - Country:US
Practice Address - Phone:702-906-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV866595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily