SANDRA CATHERINE TAVISORA NCTM
NPI 1376725648
Specialist in N Las Vegas, NV

Active since November 28, 2007
6961 PUETOLLANO DR, N LAS VEGAS, NV 89084(480) 650-2010 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Catherine Tavisora Nctm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA CATHERINE TAVISORA NCTM (NPI 1376725648) is an individual specialist in N Las Vegas, Nevada, licensed in Nevada (NVMT3113) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1376725648
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSANDRA CATHERINE TAVISORACredential: NCTM
Location Address6961 PUETOLLANO DRN Las Vegas, NV 89084-2339
Mailing Address6961 Puetollano DrN Las Vegas, NV 89084-2339 · (480) 650-2010
Sole ProprietorYes
Enumeration DateNovember 28, 2007
Last NPPES UpdateDecember 19, 2007
NPI 1376725648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NV · NVMT3113
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6961 PUETOLLANO DR, N Las Vegas, NV 89084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Tavisora's NPI number?

The NPI number for Sandra Tavisora is 1376725648. It was assigned to this individual provider in the NPPES registry on November 28, 2007.

Where is Sandra Tavisora located?

Sandra Tavisora practices at 6961 Puetollano Dr, N Las Vegas, NV 89084. The listed phone number is (480) 650-2010.

What is Sandra Tavisora's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sandra Tavisora was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.