Provider Demographics
NPI:1578892592
Name:RHEA, SARAH (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RHEA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3755 SAUCEDA LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-0103
Mailing Address - Country:US
Mailing Address - Phone:702-324-1962
Mailing Address - Fax:
Practice Address - Street 1:4755 W ANN RD
Practice Address - Street 2:00
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-3424
Practice Address - Country:US
Practice Address - Phone:702-645-0332
Practice Address - Fax:702-396-8514
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000971363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily