Individual
MRS. STACY BERLEKAMP SPATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9990 DOUBLE R BLVD STE 200, RENO, NV 89521-4833
(775) 348-8800
(775) 348-8818
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(775) 348-8818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
829333
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250008105
—
NV
Enumeration date
07/24/2013
Last updated
03/22/2022
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