Provider Demographics
NPI:1770803835
Name:TEIXEIRA, SARAH J (APRN, DNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:TEIXEIRA
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5538 LONGLEY LN STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1897
Mailing Address - Country:US
Mailing Address - Phone:775-852-6002
Mailing Address - Fax:775-852-6028
Practice Address - Street 1:2385 E PRATER WAY STE 302
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-9638
Practice Address - Country:US
Practice Address - Phone:775-356-4514
Practice Address - Fax:775-356-4991
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN52057163W00000X, 163WX0800X
NVAPRN001283363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1770803835Medicaid
NV12488164OtherCAQH
NV1770803835Medicaid