Healthcare Provider Details

I. General information

NPI: 1437013398
Provider Name (Legal Business Name): SAMANTHA DREJKA AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 PLUMAS ST
RENO NV
89509-4515
US

IV. Provider business mailing address

1720 NORTHRUP CT
RENO NV
89521-5115
US

V. Phone/Fax

Practice location:
  • Phone: 775-433-2700
  • Fax:
Mailing address:
  • Phone: 302-743-0188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number857021
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: