MEDICARE: SABRINA CAMPA CLOSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		NV

General Provider Information

NPI Number	:	1316802739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA CAMPA CLOSE

Provider Business Mailing Address
First Line	:	2132 REDBIRD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6160
Country	:	US
Telephone Number	:	702-622-6213
Fax Number	:

Provider Business Practice Location Address
First Line	:	2132 REDBIRD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6160
Country	:	US
Telephone Number	:	702-622-6213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ SABRINA CAMPA CLOSE ” Practice Location

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