Healthcare Provider Details

I. General information

NPI: 1184531444
Provider Name (Legal Business Name): DANIELLE C PARKS APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4747 CAUGHLIN PKWY STE 3
RENO NV
89519-0906
US

IV. Provider business mailing address

4747 CAUGHLIN PKWY STE 3
RENO NV
89519-0906
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone: 775-204-5317
  • Fax: 775-204-3381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number896129
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: