Healthcare Provider Details

I. General information

NPI: 1245414341
Provider Name (Legal Business Name): TYLER A BRAZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TYLER A BRUNO LAC, CMT

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 SIERRA ROSE DR. UNITS A & B
RENO NV
89511
US

IV. Provider business mailing address

1155 MILL ST # M14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-204-4000
  • Fax: 775-234-4605
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-5496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number12066
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number824694
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number813694
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number813694
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number813694
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number824694
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: