Healthcare Provider Details

I. General information

NPI: 1881519528
Provider Name (Legal Business Name): SAMANTHA OLIVIA STEARNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 S RAINBOW BLVD
LAS VEGAS NV
89118-1825
US

IV. Provider business mailing address

3731 REBEL AVE
PAHRUMP NV
89048-5598
US

V. Phone/Fax

Practice location:
  • Phone: 702-853-3000
  • Fax:
Mailing address:
  • Phone: 814-418-6238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number841507
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: