Healthcare Provider Details

I. General information

NPI: 1467186122
Provider Name (Legal Business Name): SUNALI PATEL DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2022
Last Update Date: 07/10/2022
Certification Date: 07/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6630 S MCCARRAN BLVD STE B20
RENO NV
89509-6136
US

IV. Provider business mailing address

6900 SHARLANDS AVE UNIT 1116
RENO NV
89523-2914
US

V. Phone/Fax

Practice location:
  • Phone: 775-828-7400
  • Fax:
Mailing address:
  • Phone: 314-898-8959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number839392
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: