Individual
KAEAI EDGERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, APRN
Contact information
Practice address
55 DAMONTE RANCH PKWY, RENO, NV 89521-2996
(845) 249-5500
Mailing address
55 DAMONTE RANCH PKWY, RENO, NV 89521-2996
(845) 249-5500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002623
NV
Other
Enumeration date
09/15/2017
Last updated
07/09/2019
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