Healthcare Provider Details

I. General information

NPI: 1205322955
Provider Name (Legal Business Name): VIKTORIA NELIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 MAE ANNE AVE STE 3
RENO NV
89523-4718
US

IV. Provider business mailing address

1155 MILL ST MCM14
RENO NV
89502
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-8971
  • Fax: 775-982-8071
Mailing address:
  • Phone: 775-982-8971
  • Fax: 775-982-8071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number892079
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: