Healthcare Provider Details

I. General information

NPI: 1184890907
Provider Name (Legal Business Name): SAMI J TOMSICK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 11/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 PECOS RD NORTH LAS VEGAS, NV 89086
NORTH LAS VEGAS NV
89086-4400
US

IV. Provider business mailing address

7098 E ENCAMPMENT DR
PRESCOTT VALLEY AZ
86314-1928
US

V. Phone/Fax

Practice location:
  • Phone: 702-791-9000
  • Fax: 702-791-1394
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License NumberRN159693
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: