Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sage Boss

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366364192

Sage Boss is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

625 Shadow Ln
Las Vegas, NV 89106-4118
Phone: (702) 895-3011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366364192
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 25, 2026
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026
Mailing address625 Shadow Ln, Las Vegas, NV 89106-4118

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