Provider Demographics
NPI:1235236480
Name:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCA
Entity Type:Organization
Organization Name:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCA
Other - Org Name:ORVIS NURSING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE CHANCELLOR ADMINISTRATIVE & LE
Authorized Official - Prefix:MR
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-889-8426
Mailing Address - Street 1:401 W 2ND STREET
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5345
Mailing Address - Country:US
Mailing Address - Phone:775-327-5000
Mailing Address - Fax:775-327-2321
Practice Address - Street 1:401 W 2ND STREET
Practice Address - Street 2:SUITE 104
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5345
Practice Address - Country:US
Practice Address - Phone:775-327-5000
Practice Address - Fax:775-327-2321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-20
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V35420Medicare UPIN