=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568264760
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMY L. CURRY APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2025
-----------------------------------------------------
Last Update Date | 03/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3650 MAYBERRY DR STE 102
-----------------------------------------------------
City | RENO
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89509-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-881-8189
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3030 CHIPMUNK DR
-----------------------------------------------------
City | WASHOE VALLEY
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89704-9034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2100X
-----------------------------------------------------
Taxonomy Name | Acute Care Nurse Practitioner
-----------------------------------------------------
License Number | 886715
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------