Provider Demographics
NPI:1265185920
Name:ALLEN, SARAH BETH (APRN-CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5740 E CARTER LN
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89061-6801
Mailing Address - Country:US
Mailing Address - Phone:775-209-5210
Mailing Address - Fax:
Practice Address - Street 1:232 ENERGY WAY
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-4199
Practice Address - Country:US
Practice Address - Phone:702-295-1000
Practice Address - Fax:702-295-0154
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV848249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily