Provider Demographics
NPI:1225845720
Name:SCIALES, SARAH MICAELLA
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MICAELLA
Last Name:SCIALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 ROCKROSE CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1524
Mailing Address - Country:US
Mailing Address - Phone:725-256-2340
Mailing Address - Fax:
Practice Address - Street 1:2119 ROCKROSE CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1524
Practice Address - Country:US
Practice Address - Phone:725-256-2348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant