Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Rae Dastrup, PA-C

Individual provider Physician Assistant · NPI 1760716419

Stephanie Rae Dastrup, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2009, 17 years ago. Practices with Women's Health Associates of Southern Nevada- Martin, PLLC, a 110-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
17
Licensed in
NV
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2880 N Tenaya Way Ste 420
Las Vegas, NV 89128-0642
Phone: (702) 255-2022
Fax: (702) 255-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1181 (NV)

Record details

NPI number1760716419
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2009
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Women'S Health Associates Of Southern Nevada- Martin, Pllc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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