Healthcare Provider Details

I. General information

NPI: 1235236480
Provider Name (Legal Business Name): BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W 2ND STREET SUITE 104
RENO NV
89503-5345
US

IV. Provider business mailing address

401 W 2ND STREET SUITE 104
RENO NV
89503-5345
US

V. Phone/Fax

Practice location:
  • Phone: 775-327-5000
  • Fax: 775-327-2321
Mailing address:
  • Phone: 775-327-5000
  • Fax: 775-327-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. BART PATTERSON
Title or Position: VICE CHANCELLOR ADMINISTRATIVE & LE
Credential:
Phone: 702-889-8426