Healthcare Provider Details

I. General information

NPI: 1821736505
Provider Name (Legal Business Name): 6 SITTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 05/28/2022
Certification Date: 05/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 W ANN RD STE 160
LAS VEGAS NV
89130-3868
US

IV. Provider business mailing address

7035 W ANN RD STE 160
LAS VEGAS NV
89130-3868
US

V. Phone/Fax

Practice location:
  • Phone: 702-396-0277
  • Fax: 702-396-3790
Mailing address:
  • Phone: 702-396-0277
  • Fax: 702-396-3790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RYAN E SITTLER
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 702-396-0277