Individual
NICOLE SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4330
Mailing address
1835 WRONDEL WAY, RENO, NV 89502-3310
(775) 750-5046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
40306-DI-0
NV
363AM0700X
Medical Physician Assistant
Primary
PA949
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509175
—
NV
Enumeration date
05/16/2006
Last updated
07/27/2022
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