Individual
MR. TIMOTHY DANIEL REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8795
(775) 445-5175
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0042
(775) 431-1013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
813415
NV
363LF0000X
Family Nurse Practitioner
RN495203 NP9973
CA
Other
Enumeration date
08/10/2005
Last updated
01/29/2019
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