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NPI Code Detail

MEDICARE: MS. SARAH ROSE CONTRERAS FNP

MEDICARE: MS. SARAH ROSE CONTRERAS FNP
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
1164X00000XLicensed Vocational Nurse224535CA
2363LF0000XFamily Nurse Practitioner95013626CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ICAN895OTHERCALA COUNTY DMH

General Provider Information

NPI Number : 1871895508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH ROSE CONTRERAS FNP
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 1300 E COOLEY DR
Second Line :
City : COLTON
State : CA
Zip : 92324-3905
Country : US
Telephone Number : 909-370-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2010
Last Update Date : 12/10/2025

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Directions to “ MS. SARAH ROSE CONTRERAS FNP” Practice Location

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