Individual
TAMISHA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
250 S MAIN ST, EUREKA, NV 89316-1513
(775) 237-5642
Mailing address
250 S MAIN ST, EUREKA, NV 89316-1513
(775) 237-5642
(775) 237-5652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18792
TN
363LF0000X
Family Nurse Practitioner
Primary
APRN002757
NV
Other
Enumeration date
07/15/2014
Last updated
11/06/2023
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