Individual
NATHANIEL ISRAEL GARDUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
975 RYLAND ST STE 100, RENO, NV 89502-1669
(775) 982-5000
(775) 982-5225
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5000
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
810360
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14325738
CAQH
NV
01
—
810360
NEVADA STATE BOARD OF NURSING
NV
Enumeration date
06/18/2018
Last updated
05/07/2024
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