# SNNAC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azura Surgery Center Northern Nevada
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578077103
- **Authorized official:** JAMES SULLIVAN III DO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (775) 232-5387

## Contact information

- **Practice address:** 932 RYLAND ST, RENO, NV 89502-1605
- **Practice address phone:** (775) 853-4166
- **Mailing address:** 40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
- **Mailing address phone:** (610) 644-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2017
- **Last updated:** 04/27/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 250001294 | — | NV |