DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NICOLE SMITH

MEDICARE: NICOLE SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program3878NV
22084P0800XPsychiatry Physician28939NV

General Provider Information

NPI Number : 1902555212
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SMITH
Provider Business Mailing Address
First Line : 745 W MOANA LN STE 300
Second Line :
City : RENO
State : NV
Zip : 89509-4980
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 745 W MOANA LN STE 300
Second Line :
City : RENO
State : NV
Zip : 89509-4980
Country : US
Telephone Number : 559-682-8456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 05/28/2026

Similar Medicare Providers

1215876263 — ADEYEMI ADESOMO MD
Practice Location Address:
745 W MOANA LN STE 300
RENO, NV
89509-4980
Practice Phone: 775-982-4100
Practice Fax:
1376574160 — JEFFREY PHILIP ROGER M.D.
Practice Location Address:
745 W MOANA LN STE 300
RENO, NV
89509-4980
Practice Phone: 970-640-7000
Practice Fax:
1639471535 — BRIAN MATTHEW GLOYESKE DO
Practice Location Address:
745 W MOANA LN STE 300
RENO, NV
89509-4980
Practice Phone: 775-784-6063
Practice Fax:
1497169940 — TIMOTHY MUSICK M.D.
Practice Location Address:
745 W MOANA LN STE 300
RENO, NV
89509-4980
Practice Phone: 775-784-6063
Practice Fax:
1386128544 — NISHAD SATHE
Practice Location Address:
745 W MOANA LN STE 300
RENO, NV
89509-4980
Practice Phone: 775-327-5174
Practice Fax:
1437617305 — ASHLEY MAESTAS DO
Practice Location Address:
745 W MOANA LN STE 300
RENO, NV
89509-4980
Practice Phone: 702-592-3033
Practice Fax:

Directions to “ NICOLE SMITH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.