Provider Demographics
NPI:1437647666
Name:ARNOLD, SKYLER LEVERE (APRN)
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:LEVERE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 RESEARCH WAY
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-7913
Mailing Address - Country:US
Mailing Address - Phone:775-888-6610
Mailing Address - Fax:775-888-4904
Practice Address - Street 1:950 LADY LUCK DRIVE
Practice Address - Street 2:
Practice Address - City:JACKPOT
Practice Address - State:NV
Practice Address - Zip Code:89825
Practice Address - Country:US
Practice Address - Phone:775-755-2500
Practice Address - Fax:775-755-2502
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002912363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner