Healthcare Provider Details

I. General information

NPI: 1427778489
Provider Name (Legal Business Name): RIVA RIOS APRN-CNP FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5070 ION DR
SPARKS NV
89436-1612
US

IV. Provider business mailing address

6540 ENLIGHTENMENT DR
RENO NV
89523-1281
US

V. Phone/Fax

Practice location:
  • Phone: 775-971-7147
  • Fax:
Mailing address:
  • Phone: 775-971-7147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number904593
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: