Provider Demographics
NPI:1952924011
Name:MORNING STAR INTEGRATED HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:MORNING STAR INTEGRATED HEALTH CENTER, LLC
Other - Org Name:MORNING STAR MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:LINO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:775-738-1212
Mailing Address - Street 1:247 BLUFFS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-2488
Mailing Address - Country:US
Mailing Address - Phone:775-738-1212
Mailing Address - Fax:
Practice Address - Street 1:247 BLUFFS AVE STE 102
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2488
Practice Address - Country:US
Practice Address - Phone:775-388-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-24
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty