Provider Demographics
NPI:1366922106
Name:SAIA, KATHERIANE ALICE
Entity type:Individual
Prefix:MRS
First Name:KATHERIANE
Middle Name:ALICE
Last Name:SAIA
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 1:8593 BLOWING PINES DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89143-4463
Mailing Address - Country:US
Mailing Address - Phone:443-221-1488
Mailing Address - Fax:
Practice Address - Street 1:6128 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3051
Practice Address - Country:US
Practice Address - Phone:702-598-2048
Practice Address - Fax:702-598-2041
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant