Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa C Medina MD PC

Organization Primary Care Clinic/Center · NPI 1104013739

Marisa C Medina MD PC is a Primary Care Clinic/Center in Henderson, Nevada. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11201 S Eastern #120
Henderson, NV 89052-6200
Phone: (702) 731-9711
Fax: (702) 731-0096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1104013739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marisa Medina — Doctor · (702) 932-9824
NPI enumeratedSeptember 27, 2007
Last updated in NPPESNovember 14, 2007
Mailing address11201 S Eastern #120, Henderson, NV 89052-6200

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