Healthcare Provider Details

I. General information

NPI: 1932767555
Provider Name (Legal Business Name): ERIC MARLO FERRARI APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 W HUFFAKER LN STE 302
RENO NV
89511-2091
US

IV. Provider business mailing address

180 W HUFFAKER LN STE 302
RENO NV
89511-2091
US

V. Phone/Fax

Practice location:
  • Phone: 775-235-6872
  • Fax: 775-230-7064
Mailing address:
  • Phone: 775-235-6872
  • Fax: 775-230-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number818454
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number818454
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: