Provider Demographics
NPI:1831215490
Name:SIERRA WOMEN'S HEALTH
Entity type:Organization
Organization Name:SIERRA WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-323-1300
Mailing Address - Street 1:1500 E 2ND ST STE 202
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1196
Mailing Address - Country:US
Mailing Address - Phone:775-323-1300
Mailing Address - Fax:775-323-1785
Practice Address - Street 1:1500 E 2ND ST STE 202
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1196
Practice Address - Country:US
Practice Address - Phone:775-323-1300
Practice Address - Fax:775-323-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6225207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016773Medicaid
NV2016773Medicaid
NV16WCHJB04Medicare ID - Type Unspecified
NVH41602Medicare UPIN
NVF60964Medicare UPIN
NV16WCHJB02Medicare ID - Type Unspecified