| NPI | 1174094866 |
|---|---|
| Doing Business As | RENOWN DERMATOLOGY, LASER & SKIN CARE |
| Entity Type | Organization |
| Authorized Contact | ANN T BECK CFO 775-982-6488 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-02-08 |