Provider Demographics
NPI:1548371016
Name:GOICOECHEA, NORA (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:NORA
Middle Name:
Last Name:GOICOECHEA
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 RIO PINAR DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5773
Mailing Address - Country:US
Mailing Address - Phone:801-556-4150
Mailing Address - Fax:
Practice Address - Street 1:6590 S MCCARRAN BLVD STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6122
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-4789
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001674363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health