Healthcare Provider Details

I. General information

NPI: 1376166892
Provider Name (Legal Business Name): SARAH ELIZABETH KUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH WILLIAMS MD

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 E PRATER WAY
SPARKS NV
89434-9641
US

IV. Provider business mailing address

10350 N MCCARRAN BLVD # 1035
RENO NV
89503-6848
US

V. Phone/Fax

Practice location:
  • Phone: 775-331-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPTL9762
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number29208
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA190302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: