Healthcare Provider Details

I. General information

NPI: 1669468716
Provider Name (Legal Business Name): NANCY J PLASKETT MPH,RD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 STEPTOE CIR
ELY NV
89301-2500
US

IV. Provider business mailing address

6 STEPTOE CIR
ELY NV
89301-2500
US

V. Phone/Fax

Practice location:
  • Phone: 775-289-2424
  • Fax: 775-289-6423
Mailing address:
  • Phone: 775-289-2424
  • Fax: 775-289-6423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number725453
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: