Desert Orchid Health | |
2125 Green Vista Dr Ste 106 Sparks NV 89431-8515 | |
(775) 622-8890 | |
(775) 622-8920 |
Full Name | Desert Orchid Health |
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Speciality | Counselor - Mental Health |
Location | 2125 Green Vista Dr Ste 106, Sparks, Nevada |
Authorized Official Name and Position | Catherine S Wade (MANAGING MEMBER/APRN-CNP, PMHNP-BC) |
Authorized Official Contact | 6505767300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Desert Orchid Health 401 Ryland St Ste 200a Reno NV 89502-1643 Ph: (650) 576-7300 | Desert Orchid Health 2125 Green Vista Dr Ste 106 Sparks NV 89431-8515 Ph: (775) 622-8890 |
NPI Number | 1710717988 |
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Provider Enumeration Date | 08/03/2024 |
Last Update Date | 08/03/2024 |
Certification Date | 08/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710717988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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