Organization
HOLISTIC FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL R PETERS APRN (APRN)
(775) 386-9010
Entity
Organization
Contact information
Practice address
645 SIERRA ROSE DR STE 102A, RENO, NV 89511-4030
(775) 386-9010
Mailing address
645 SIERRA ROSE DR STE 102A, RENO, NV 89511-4030
(775) 386-9010
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427506500
—
NV
Enumeration date
10/23/2020
Last updated
10/23/2020
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