Healthcare Provider Details

I. General information

NPI: 1134037583
Provider Name (Legal Business Name): MELANIE SARGEANT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 PLUMAS ST, RENO, NV
RENO NV
89509
US

IV. Provider business mailing address

1450 IDLEWILD DR UNIT 1231
RENO NV
89509-1088
US

V. Phone/Fax

Practice location:
  • Phone: 775-433-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number904760
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: