MEDICARE: MRS. SARAH SARICH BS, RRT

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	227900000X	Registered Respiratory Therapist	RC2600	NV

General Provider Information

NPI Number	:	1538530399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH SARICH BS, RRT

Provider Business Mailing Address
First Line	:	3657 LAKESIDE VILLAS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4052
Country	:	US
Telephone Number	:	702-204-4947
Fax Number	:

Provider Business Practice Location Address
First Line	:	3657 LAKESIDE VILLAS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4052
Country	:	US
Telephone Number	:	702-204-4947
Fax Number	:

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

Provider Enumeration Date	:	10/19/2015
Last Update Date	:	02/14/2022

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