MEDICARE: SARAH PHILLIPS

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	891209	NV

General Provider Information

NPI Number	:	1730036815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH PHILLIPS

Provider Business Mailing Address
First Line	:	330 FALCON RIDGE PKWY STE 200B
Second Line	:
City	:	MESQUITE
State	:	NV
Zip	:	89027-8881
Country	:	US
Telephone Number	:	702-346-3088
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 FALCON RIDGE PKWY STE 200B
Second Line	:
City	:	MESQUITE
State	:	NV
Zip	:	89027-8881
Country	:	US
Telephone Number	:	702-346-0610
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ SARAH PHILLIPS ” Practice Location

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