Healthcare Provider Details

I. General information

NPI: 1407719446
Provider Name (Legal Business Name): YING YUAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 W 6TH ST
RENO NV
89503-4548
US

IV. Provider business mailing address

235 W 6TH ST
RENO NV
89503-4548
US

V. Phone/Fax

Practice location:
  • Phone: 775-770-3220
  • Fax:
Mailing address:
  • Phone: 775-770-3220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15324
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: