Provider Demographics
NPI:1972211050
Name:TAPIA, REIKO KIMBERLY (APRN)
Entity Type:Individual
Prefix:
First Name:REIKO
Middle Name:KIMBERLY
Last Name:TAPIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 SAINT ROSE PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4848
Mailing Address - Country:US
Mailing Address - Phone:702-558-4027
Mailing Address - Fax:
Practice Address - Street 1:2839 SAINT ROSE PKWY STE 130
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4849
Practice Address - Country:US
Practice Address - Phone:702-558-4027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV860817363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily