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

Sandra Catherine Tavisora, NCTM

Individual provider Specialist · NPI 1376725648

Sandra Catherine Tavisora, NCTM is a Specialist in N las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2007
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Practice location Address checks out

6961 Puetollano Dr
N las Vegas, NV 89084-2339
Phone: (480) 650-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence NVMT3113 (NV)

Record details

NPI number1376725648
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCTM
Sole proprietorYes
NPI enumeratedNovember 28, 2007
Last updated in NPPESDecember 19, 2007

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