Healthcare Provider Details

I. General information

NPI: 1538602669
Provider Name (Legal Business Name): KRISTEN RAE STEMMER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10395 DOUBLE R BLVD
RENO NV
89521-5991
US

IV. Provider business mailing address

10395 DOUBLE R BLVD
RENO NV
89521-5991
US

V. Phone/Fax

Practice location:
  • Phone: 775-507-2606
  • Fax:
Mailing address:
  • Phone: 775-538-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number849809
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: