MEDICARE: MS. SARAH A YAO 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN002604	NV

General Provider Information

NPI Number	:	1205351327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH A YAO APRN

Provider Business Mailing Address
First Line	:	PO BOX 81312
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89180-1312
Country	:	US
Telephone Number	:	702-330-0077
Fax Number	:	725-204-9592

Provider Business Practice Location Address
First Line	:	2626 S RAINBOW BLVD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0068
Country	:	US
Telephone Number	:	702-303-0077
Fax Number	:	725-204-9592

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2017
Last Update Date	:	10/25/2023

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