NPI 1033586417

Phoenix Providers

Organisation Preferred Provider Organization Reno, NV

Practice location

Address: 3844 Joy Ln, Reno, NV 89523
Phone: (775) 722-0574

Authorised official

Name: Aaron Lee van Pelt
Title: Ceo
Phone: (775) 722-0574

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence NV20151498467 (NV)

Other Preferred Provider Organization providers in Nevada →

Registry record

NPI: 1033586417
Entity type: Organization
NPI issued: 1 Sep 2015
Record last updated: 1 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.