Healthcare Provider Details

I. General information

NPI: 1598182479
Provider Name (Legal Business Name): SARAH MAPLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1946 OLD HOT SPRINGS RD
CARSON CITY NV
89706-0674
US

IV. Provider business mailing address

1946 OLD HOT SPRINGS RD
CARSON CITY NV
89706-0674
US

V. Phone/Fax

Practice location:
  • Phone: 775-283-5050
  • Fax:
Mailing address:
  • Phone: 775-882-1324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17217
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: