Individual
NATHAN DAVIS HEITZENRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18600 WEDGE PKWY, RENO, NV 89511-3036
(775) 784-4838
Mailing address
5859 SOLSTICE DR, SPARKS, NV 89436-7143
(775) 843-0922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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