Healthcare Provider Details

I. General information

NPI: 1659882447
Provider Name (Legal Business Name): ZARAH GAERLAN NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 SUNRIDGE HEIGHTS PKWY
HENDERSON NV
89052-4462
US

IV. Provider business mailing address

2960 SUNRIDGE HEIGHTS PKWY
HENDERSON NV
89052-4462
US

V. Phone/Fax

Practice location:
  • Phone: 702-213-5331
  • Fax:
Mailing address:
  • Phone: 702-213-5331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN002697
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: