Individual
MRS. ERICA DASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 E 2ND ST STE 400, RENO, NV 89502-1198
(775) 982-2400
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
814888
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN70617
RN LICENSE
NV
Enumeration date
09/12/2018
Last updated
12/10/2020
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