ETHEL SAJOR-SAM


Address: 3249 W Craig Rd Ste 140, N Las Vegas, NV 89032
Phone: 7027501900

ETHEL SAJOR-SAM (NPI# 1679726251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679726251
Entity Type Individual
Full Name ETHEL SAJOR-SAM
Practice Address 3249 W Craig Rd Ste 140
N Las Vegas
NV 89032
Mailing Address Po Box 81316
Las Vegas
NV 89180-1316
Practice Telephone 7027501900
Mailing Telephone 7027501655
Mailing Fax Number 7027501667
Enumeration Date 2008-10-28
Last Update Date 2019-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN001077 NV Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6845 W Charleston Blvd, Suite B, Las Vegas, NV 891171647 7022408318 7022408331
3249 W Craig Rd Ste 140, N Las Vegas, NV 89032 7027501900

Office Location

Street Address 3249 W CRAIG RD STE 140
City N LAS VEGAS
State NV
Zip Code 89032

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184053373 New Generations Health & Wellness LLC Nurse Practitioner 6349 Blushing Willow St, N Las Vegas, NV 89081-3324 2013-11-07
1023399748 Stephanie Marie Melcher Nurse Practitioner 1302 W Craig Rd, N Las Vegas, NV 89032-0246 2011-09-08

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NPI Name Taxonomy Address Enumeration
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Competitor

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City N LAS VEGAS
Zip Code 89032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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