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Individual

CHERYL DENICE NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
Mailing address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
175T00000X
Peer Specialist
Primary
PRSS-SUP-5044
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992134472
NV
Enumeration date
07/23/2019
Last updated
03/09/2026
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