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Individual

MRS. SABRINA EISINGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3196 S MARYLAND PKWY STE 209, LAS VEGAS, NV 89109-2313
(702) 944-2888
(702) 895-4014
Mailing address
3016 W CHARLESTON BLVD STE 205, LAS VEGAS, NV 89102-1963
(702) 780-2312
(702) 895-4014

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
818050
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
813419791
EMPLOYER TAX ID
NV
Enumeration date
01/29/2019
Last updated
01/29/2019
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