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Individual

CHEYENNE KIRA PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1500 AVENUE H, ELY, NV 89301-2615
(775) 289-3001
Mailing address
860 AVENUE K, ELY, NV 89301-2711
(775) 685-3568

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
843395
NV
363L00000X
Nurse Practitioner
Primary
843395
NV

Other

Enumeration date
05/20/2025
Last updated
12/03/2025
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