Healthcare Provider Details

I. General information

NPI: 1972380970
Provider Name (Legal Business Name): NICOLE SIMS MORRISON SURGICAL FIRST ASSIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NICOLE XANDER WINTERS SURGICAL FIRST ASSIS

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 DAMONTE RANCH PKWY STE 958
RENO NV
89521-5911
US

IV. Provider business mailing address

1022 DESERT PEACH CT
SPARKS NV
89436-0850
US

V. Phone/Fax

Practice location:
  • Phone: 775-460-4626
  • Fax:
Mailing address:
  • Phone: 775-250-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number180664
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: