Organization
ACTIVE LIFE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH BEREJNAYA FNP (CO-OWNER)
(775) 848-6085
Entity
Organization
Contact information
Practice address
971 W MOANA LN, RENO, NV 89509-4844
(775) 842-0065
Mailing address
971 W MOANA LN, RENO, NV 89509-4844
(775) 842-0065
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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