Healthcare Provider Details

I. General information

NPI: 1528192010
Provider Name (Legal Business Name): ANDREA FELESINA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W ROBINSON ST
CARSON CITY NV
89703-3965
US

IV. Provider business mailing address

407 W ROBINSON ST
CARSON CITY NV
89703-3965
US

V. Phone/Fax

Practice location:
  • Phone: 775-720-2563
  • Fax: 775-884-4986
Mailing address:
  • Phone: 775-720-2563
  • Fax: 775-884-4986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN686969
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN002262
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: