Provider Demographics
NPI:1891856290
Name:PEPE, FRANCIS W (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:W
Last Name:PEPE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:W
Other - Last Name:PEPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 21418
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89515-1418
Mailing Address - Country:US
Mailing Address - Phone:775-746-3202
Mailing Address - Fax:775-746-1904
Practice Address - Street 1:235 W 6TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4548
Practice Address - Country:US
Practice Address - Phone:775-746-3202
Practice Address - Fax:775-746-1904
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA1008363A00000X
CA53887363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100510722Medicaid
CA1891856290Medicaid