Healthcare Provider Details

I. General information

NPI: 1376047274
Provider Name (Legal Business Name): HANNAH SHLANSKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 KIRMAN AVE STE 101
RENO NV
89502-1340
US

IV. Provider business mailing address

1155 MILL ST # M-14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-3960
  • Fax: 775-982-3727
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25689
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25689
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number25689
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: