Healthcare Provider Details

I. General information

NPI: 1801927124
Provider Name (Legal Business Name): DENISE A. SAULLE RN,BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 WEST MOANA AVE.
RENO NV
89509
US

IV. Provider business mailing address

1795 LANDER ST
RENO NV
89509-3335
US

V. Phone/Fax

Practice location:
  • Phone: 775-334-3044
  • Fax:
Mailing address:
  • Phone: 775-322-9258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN42845
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: