Individual
CORY LEE FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1595 ROBB DR STE 2, RENO, NV 89523-3527
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
842520
NV
363LF0000X
Family Nurse Practitioner
Primary
842520
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15167122
CAQH
—
01
—
842520
APRN NV LICENSE
NV
Enumeration date
06/18/2021
Last updated
02/08/2022
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