MEDICARE: MRS. CYNTHIA L. SITAR APRN

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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	RN11709	NV
2	363LW0102X	Women's Health Nurse Practitioner	APRN 0213	NV

General Provider Information

NPI Number	:	1790012805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA L. SITAR APRN

Provider Business Mailing Address
First Line	:	3325 RESEARCH WAY
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-7913
Country	:	US
Telephone Number	:	775-888-6610
Fax Number	:	775-888-4904

Provider Business Practice Location Address
First Line	:	2231 W CHARLESTON BLVD FL 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2254
Country	:	US
Telephone Number	:	702-944-2805
Fax Number	:	702-366-0466

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

Provider Enumeration Date	:	11/10/2009
Last Update Date	:	08/20/2018

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