Individual
ALYSSA CHARLENE VEGA ANTIADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3650 MAYBERRY DR STE 102, RENO, NV 89509-2131
(775) 881-8189
(775) 964-6937
Mailing address
1254 GREY OWL DR, SPARKS, NV 89436-9351
(808) 283-8521
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
816947
NV
Other
Enumeration date
02/25/2025
Last updated
05/05/2025
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