Individual
NIKKI HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
780 VISTA BLVD STE 100, SPARKS, NV 89434-6677
(775) 348-8800
(833) 687-1419
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(833) 687-1419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2879
NV
Other
Enumeration date
12/29/2021
Last updated
09/27/2024
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