Provider Demographics
NPI:1861644619
Name:SAWYER, JOI ANEVIA (NP)
Entity Type:Individual
Prefix:MS
First Name:JOI
Middle Name:ANEVIA
Last Name:SAWYER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 SOGGY RUFF WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5217
Mailing Address - Country:US
Mailing Address - Phone:507-722-8775
Mailing Address - Fax:
Practice Address - Street 1:9950 W FLAMINGO RD STE 105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8555
Practice Address - Country:US
Practice Address - Phone:702-919-6115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007288207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209007288OtherSTATE LICENSE