Provider Demographics
NPI:1821852054
Name:PINEDA, ARIANNE CARISSE REYES (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:ARIANNE CARISSE
Middle Name:REYES
Last Name:PINEDA
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10977 PRAIRIE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89179-2066
Mailing Address - Country:US
Mailing Address - Phone:702-596-5539
Mailing Address - Fax:
Practice Address - Street 1:7100 SMOKE RANCH RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8834
Practice Address - Country:US
Practice Address - Phone:702-545-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV875023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily