Aguas, Nerissa Antonio

Aguas, Nerissa Antonio is an individual health care provider with primary practice located at 1250 W 7Th St , Reno NV 89503-4127. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Aguas, Nerissa Antonio can be contacted via phone (775) 747-6658.

Contact Information

Primary practice address
1250 W 7Th St Reno NV 89503-4127
Fax: (775) 747-7248
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14977 Nevada

Profile Details

NPI number 1205431012
LBN Legal business name Aguas, Nerissa Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2020
Last updated Dec 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205431012 NPPES
Nevada MEDICAID 1093759342

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