NPI 1104478411 · live from the CMS NPI Registry
Taryn Bales
Physician Assistant in Reno, NV. National Provider Identifier 1104478411, active.
NPI record
| NPI | 1104478411 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 975 Ryland St Ste 100, Reno, NV 89502 |
| Practice phone | 775-982-5000 |
| Mailing address | 1155 Mill St # Msm14, Reno, NV 89502 |
| Enumerated | July 16, 2019 |
| Last updated | April 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA2597 (NV) |
| Physician Assistant | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.