Individual
ZACHARY S SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-3866
(775) 982-3868
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN86006
NV
363L00000X
Nurse Practitioner
Primary
836273
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15090611
CAQH NUMBER
NV
01
—
836273
APRN NEVADA LICENSE
NV
Enumeration date
01/19/2021
Last updated
11/07/2023
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