Individual
TASHA SANNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2865 SIENA HEIGHTS DR, HENDERSON, NV 89052-4167
(702) 616-7049
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
821976
NV
Other
Enumeration date
08/13/2019
Last updated
09/18/2019
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