Healthcare Provider Details

I. General information

NPI: 1881505014
Provider Name (Legal Business Name): STEADY TELE REMOTE NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 GRAND POINT WAY # 33158
RENO NV
89523-3524
US

IV. Provider business mailing address

1580 GRAND POINT WAY # 33158
RENO NV
89523-3524
US

V. Phone/Fax

Practice location:
  • Phone: 725-294-2507
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: XENETEIA AQUINO
Title or Position: CREDENTIALING
Credential:
Phone: 725-294-2507