Individual
HEATHER LAREE SARTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 867-7757
Mailing address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 867-7007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003618
VA
363A00000X
Physician Assistant
PA1356
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1097946
NCCPA
VA
Enumeration date
06/23/2011
Last updated
07/24/2012
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