Provider Demographics
NPI:1518627561
Name:ARNAIZ, MARIA JASMIN CHUNG (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:MARIA JASMIN
Middle Name:CHUNG
Last Name:ARNAIZ
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 MAE ANNE AVE APT 811
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-7124
Mailing Address - Country:US
Mailing Address - Phone:122-599-9516
Mailing Address - Fax:
Practice Address - Street 1:5365 MAE ANNE AVE STE A10
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1841
Practice Address - Country:US
Practice Address - Phone:775-432-1500
Practice Address - Fax:775-432-1002
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV836355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily