Healthcare Provider Details

I. General information

NPI: 1508823287
Provider Name (Legal Business Name): MARSHA A STERLING ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 09/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 STEWART AVE
LAS VEGAS NV
89101-3710
US

IV. Provider business mailing address

3449 MIDNIGHT MOON ST
LAS VEGAS NV
89135-7824
US

V. Phone/Fax

Practice location:
  • Phone: 702-385-3301
  • Fax:
Mailing address:
  • Phone: 702-869-4761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number215881
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: