Healthcare Provider Details
I. General information
NPI: 1366323461
Provider Name (Legal Business Name): SINCERA HEALTH PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4955 S DURANGO DR STE 157
LAS VEGAS NV
89113-0154
US
IV. Provider business mailing address
4955 S DURANGO DR STE 157
LAS VEGAS NV
89113-0154
US
V. Phone/Fax
- Phone: 909-203-6336
- Fax:
- Phone: 909-203-6336
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA ELEANOR
P
CAYANAN
Title or Position: MANAGING MEMBER
Credential: NP
Phone: 909-203-6336