Healthcare Provider Details

I. General information

NPI: 1821939919
Provider Name (Legal Business Name): SERVANNA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1761 COLLEGE PKWY STE 112
CARSON CITY NV
89706-7954
US

IV. Provider business mailing address

6017 MOUNTAIN SHADOW LN
RENO NV
89511-9018
US

V. Phone/Fax

Practice location:
  • Phone: 775-400-1144
  • Fax: 775-302-1100
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELE STEVANOVICH
Title or Position: CEO/AUTHORIZED OFFICIAL
Credential: APRN
Phone: 775-400-1144