Individual
JOHN PAUL BACALTOS MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
18653 WEDGE PKWY, RENO, NV 89511-3323
(775) 770-7210
(775) 770-7211
Mailing address
411 W 6TH ST, RENO, NV 89503-4415
(775) 770-7600
(775) 770-7880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN62564
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN002196
NV
Other
Enumeration date
06/06/2016
Last updated
06/15/2016
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