Healthcare Provider Details

I. General information

NPI: 1013295294
Provider Name (Legal Business Name): BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2011
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 W. MOANA LANE SUITE 100
RENO NV
89509
US

IV. Provider business mailing address

745 W. MOANA LANE SUITE 100
RENO NV
89509
US

V. Phone/Fax

Practice location:
  • Phone: 775-334-3033
  • Fax: 775-334-3022
Mailing address:
  • Phone: 702-968-5059
  • Fax: 702-968-4041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BART PATTERSON
Title or Position: VICE CHANCELOR ADMINISTRATIVE & LEG
Credential:
Phone: 702-889-8426