Healthcare Provider Details

I. General information

NPI: 1134608466
Provider Name (Legal Business Name): BARBARA ANNE DAY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 09/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 KIRMAN AVE STE L1P12
RENO NV
89502-1339
US

IV. Provider business mailing address

850 HARVARD WAY
RENO NV
89502-2055
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-2828
  • Fax: 775-982-2834
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-5496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberAPRN810245
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: