Provider Demographics
NPI:1861502833
Name:ELENA M. NYHAN MD INC
Entity Type:Organization
Organization Name:ELENA M. NYHAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:VERRINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-337-6688
Mailing Address - Street 1:890 MILL ST STE 303
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1436
Mailing Address - Country:US
Mailing Address - Phone:775-337-6688
Mailing Address - Fax:775-337-6680
Practice Address - Street 1:890 MILL ST STE 303
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1436
Practice Address - Country:US
Practice Address - Phone:775-337-6688
Practice Address - Fax:775-337-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9078207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVG98333Medicare UPIN