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NPI Code Detail

MEDICARE: TINA SAJADI MSN,PMHNP-BC

MEDICARE:   TINA  SAJADI  MSN,PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner851156NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952061202
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA SAJADI MSN,PMHNP-BC
Provider Business Mailing Address
First Line : 800 N RAINBOW BLVD STE 215
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1189
Country : US
Telephone Number : 725-333-2411
Fax Number : 702-952-5257
Provider Business Practice Location Address
First Line : 800 N RAINBOW BLVD STE 215
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1189
Country : US
Telephone Number : 725-333-2411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2021
Last Update Date : 12/15/2025

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Directions to “ TINA SAJADI MSN,PMHNP-BC” Practice Location

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