Individual
MRS. TERRI L ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
689 SIERRA ROSE DR STE B, RENO, NV 89511-2076
(775) 323-3000
(775) 323-3001
Mailing address
689 SIERRA ROSE DR STE B, RENO, NV 89511-2076
(775) 323-3000
(775) 323-3001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA923
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506909
—
NV
Enumeration date
02/06/2006
Last updated
02/24/2022
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