Healthcare Provider Details

I. General information

NPI: 1093383697
Provider Name (Legal Business Name): MORGAN ELIZABETH ROVETTI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 06/11/2021
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5365 MAE ANNE AVE STE B2
RENO NV
89523-1889
US

IV. Provider business mailing address

5365 MAE ANNE AVE STE B2
RENO NV
89523-1889
US

V. Phone/Fax

Practice location:
  • Phone: 775-324-3700
  • Fax: 775-324-3700
Mailing address:
  • Phone: 775-324-3700
  • Fax: 775-324-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB-01589
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberB01589
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: