Healthcare Provider Details

I. General information

NPI: 1992093272
Provider Name (Legal Business Name): RACHAEL ELIZABETH GREGORY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 NAVASOTA DR
SPARKS NV
89436-9429
US

IV. Provider business mailing address

7777 NAVASOTA DR
SPARKS NV
89436-9429
US

V. Phone/Fax

Practice location:
  • Phone: 775-538-0880
  • Fax: 775-372-2166
Mailing address:
  • Phone: 775-538-0880
  • Fax: 775-372-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN001280
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: