Individual
SARA LOUISE SANTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20414 N 27TH AVE STE 500, PHOENIX, AZ 85027-3252
(602) 849-0115
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R38826
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
AP5454
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B3291
—
NM
Enumeration date
01/10/2007
Last updated
02/06/2024
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