Healthcare Provider Details

I. General information

NPI: 1740651462
Provider Name (Legal Business Name): JOYCE A MILLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOYCE CACESE

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 RYLAND ST
RENO NV
89502
US

IV. Provider business mailing address

880 RYLAND ST
RENO NV
89502-1603
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-4600
  • Fax: 775-324-4312
Mailing address:
  • Phone: 775-329-4600
  • Fax: 775-324-4312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number885984
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number94810
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11012031
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: