Healthcare Provider Details

I. General information

NPI: 1801351523
Provider Name (Legal Business Name): SAENZ OF THE TIMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2980 S JONES BLVD STE C
LAS VEGAS NV
89146-5657
US

IV. Provider business mailing address

8964 TEMPEST POINT CT
LAS VEGAS NV
89147-6573
US

V. Phone/Fax

Practice location:
  • Phone: 760-382-5115
  • Fax:
Mailing address:
  • Phone: 760-382-5115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RACHEL SAENZ
Title or Position: OWNER
Credential: APRN
Phone: 702-354-3398