Healthcare Provider Details

I. General information

NPI: 1255224267
Provider Name (Legal Business Name): VANESSA BARRERA HAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9770 S MCCARRAN BLVD
RENO NV
89523-9203
US

IV. Provider business mailing address

9770 S MCCARRAN BLVD
RENO NV
89523-9203
US

V. Phone/Fax

Practice location:
  • Phone: 775-322-4589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS-3865
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: