Provider Demographics
NPI:1093131955
Name:NEHRKORN, CAILLE MARIE (MED)
Entity Type:Individual
Prefix:
First Name:CAILLE
Middle Name:MARIE
Last Name:NEHRKORN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4276 KATHLEEN DENISE LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1033
Mailing Address - Country:US
Mailing Address - Phone:775-813-3106
Mailing Address - Fax:
Practice Address - Street 1:4276 KATHLEEN DENISE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-1033
Practice Address - Country:US
Practice Address - Phone:775-813-3106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner