Provider Demographics
NPI:1487168753
Name:PARIZO, ROSE ANGELICA (APRN)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:ANGELICA
Last Name:PARIZO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:ANGELICA
Other - Last Name:PARIZO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:255 W. MOANA LN. SUITE 110
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509
Mailing Address - Country:US
Mailing Address - Phone:775-440-1520
Mailing Address - Fax:
Practice Address - Street 1:255 W MOANA LN STE 110
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4942
Practice Address - Country:US
Practice Address - Phone:775-440-1520
Practice Address - Fax:775-201-1905
Is Sole Proprietor?:No
Enumeration Date:2017-11-25
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002770363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner