Individual
ART ROO LA SAGE SABEROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
821 N NELLIS BLVD STE 100, LAS VEGAS, NV 89110-5387
(702) 438-4003
(702) 438-0555
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
828093
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659903193
—
NV
01
—
828093
STATE LICENSE
NV
Enumeration date
02/11/2020
Last updated
10/20/2022
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