Healthcare Provider Details

I. General information

NPI: 1528921475
Provider Name (Legal Business Name): BRYCE CUTLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRYCE S CUTLER

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 PINION RD STE A
ELKO NV
89801-8319
US

IV. Provider business mailing address

1825 PINION RD STE A
ELKO NV
89801-8319
US

V. Phone/Fax

Practice location:
  • Phone: 775-738-8021
  • Fax:
Mailing address:
  • Phone: 775-738-8021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12610M
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIC2876
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: