Healthcare Provider Details

I. General information

NPI: 1285596106
Provider Name (Legal Business Name): PENNY LYNN NEMEC APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 INNOVATION DR UNIT 300
RENO NV
89511-2633
US

IV. Provider business mailing address

635 INNOVATION DR UNIT 300
RENO NV
89511-2633
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-6241
  • Fax: 775-329-4921
Mailing address:
  • Phone: 775-329-6241
  • Fax: 775-329-4921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number896301
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: