Individual
MEGAN RAYBORN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1500 E 2ND ST STE 100, RENO, NV 89502-1189
(775) 982-5003
(775) 982-5103
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
APN001196
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12142433
CAQH
—
05
—
1275852311
—
NV
Enumeration date
05/28/2010
Last updated
02/22/2021
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