Inspire Sierra, Llc | |
770 Trademark Dr Ste 100 Reno NV 89521-5926 | |
(775) 813-4288 | |
Not Available |
Full Name | Inspire Sierra, Llc |
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Speciality | Clinic/Center |
Location | 770 Trademark Dr Ste 100, Reno, Nevada |
Authorized Official Name and Position | Nicole Pavlatos-delavoye (OWNER) |
Authorized Official Contact | 7738277511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inspire Sierra, Llc 770 Trademark Dr Ste 100 Reno NV 89521-5926 Ph: (775) 813-4288 | Inspire Sierra, Llc 770 Trademark Dr Ste 100 Reno NV 89521-5926 Ph: (775) 813-4288 |
NPI Number | 1982336160 |
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Provider Enumeration Date | 06/27/2022 |
Last Update Date | 06/27/2022 |
Medicare PECOS PAC ID | 1355726159 |
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Medicare Enrollment ID | O20220914003519 |
Identifier | Type | State | Issuer |
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1982336160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Nicole S Pavlatos |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194906792 PECOS PAC ID: 4284873621 Enrollment ID: I20130829000545 |
Provider Name | Jayson Weir |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1518257138 PECOS PAC ID: 2163647355 Enrollment ID: I20170824003504 |
Provider Name | Jon W. Ray |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1447494232 PECOS PAC ID: 9537551593 Enrollment ID: I20240318000795 |
Provider Name | Elsie Marie Jimenez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134826274 PECOS PAC ID: 8729526553 Enrollment ID: I20240812002893 |
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