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NPI Code Detail

MEDICARE: SARAH JANE PARROCHA QUIRANTE APRN

MEDICARE: SARAH JANE PARROCHA QUIRANTE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner844992NV
2363LP2300XPrimary Care Nurse Practitioner844992NV
3363L00000XNurse Practitioner844992NV

General Provider Information

NPI Number : 1083462014
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JANE PARROCHA QUIRANTE APRN
Provider Business Mailing Address
First Line : 7479 PURITAN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1257
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7479 PURITAN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1257
Country : US
Telephone Number : 702-525-0110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2024
Last Update Date : 05/06/2024

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