Healthcare Provider Details

I. General information

NPI: 1326273178
Provider Name (Legal Business Name): NEVADA EARLY INTERVENTION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2009
Last Update Date: 05/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2667 ENTERPRISE RD
RENO NV
89512-1666
US

IV. Provider business mailing address

2667 ENTERPRISE RD
RENO NV
89512-1666
US

V. Phone/Fax

Practice location:
  • Phone: 775-688-1341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: EVA LYNN BLANEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 775-688-1341