Individual
JANNA RAY CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10315 PROFESSIONAL CIR STE 101, RENO, NV 89521-4802
(775) 982-2828
(775) 982-2834
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
880422
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
880422
NV
Other
Enumeration date
07/18/2024
Last updated
01/12/2025
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