Healthcare Provider Details

I. General information

NPI: 1275468159
Provider Name (Legal Business Name): MR. CHRISTOPHER LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 COURT ST
RENO NV
89501-1710
US

IV. Provider business mailing address

2425 CRESTONE DR
RENO NV
89523-2802
US

V. Phone/Fax

Practice location:
  • Phone: 775-980-2022
  • Fax:
Mailing address:
  • Phone: 510-366-6210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number862210
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: