Healthcare Provider Details

I. General information

NPI: 1750299533
Provider Name (Legal Business Name): SARAH F RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 N CAMPBELL RD
LAS VEGAS NV
89149-3433
US

IV. Provider business mailing address

5475 N CAMPBELL RD
LAS VEGAS NV
89149-3433
US

V. Phone/Fax

Practice location:
  • Phone: 702-971-7882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number834210
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: