Provider Demographics
NPI:1083374540
Name:YORK, RENATE
Entity Type:Individual
Prefix:
First Name:RENATE
Middle Name:
Last Name:YORK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 PAINTED VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6159
Mailing Address - Country:US
Mailing Address - Phone:775-686-0450
Mailing Address - Fax:
Practice Address - Street 1:800 S MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-3863
Practice Address - Country:US
Practice Address - Phone:775-686-0450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-26
Last Update Date:2021-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No2472R0900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherRenal Dialysis
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No376K00000XNursing Service Related ProvidersNurse's Aide