Healthcare Provider Details

I. General information

NPI: 1326542770
Provider Name (Legal Business Name): IONA MICHELLE WEEKS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1993 ERRECART BLVD.
ELKO NV
89801
US

IV. Provider business mailing address

1993 ERRECART BLVD
ELKO NV
89801-8334
US

V. Phone/Fax

Practice location:
  • Phone: 775-753-1049
  • Fax: 775-777-8494
Mailing address:
  • Phone: 775-753-1049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN002864
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: