Provider Demographics
NPI:1417628371
Name:SOSA, DARCIE LEE (RN)
Entity Type:Individual
Prefix:
First Name:DARCIE
Middle Name:LEE
Last Name:SOSA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SANDBAR ST
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-7008
Mailing Address - Country:US
Mailing Address - Phone:702-496-8657
Mailing Address - Fax:
Practice Address - Street 1:61 N WILLOW ST STE 4
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-4786
Practice Address - Country:US
Practice Address - Phone:702-346-4696
Practice Address - Fax:702-364-4699
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV841632163W00000X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse