Most Relevant Information
Provider Data
| NPI Number: | 1003181926 |
| Provider Name: | MELLYN AILEEN JOHNSON APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN001367 |
Most Important Dates
| Enumeration Date: | 03/09/2012 |
| Last Updated: | 04/22/2019 |
Provider Practice Location
1500 E 2ND ST
STE 100
RENO
NV
895021262
Practice Location Phone/Fax
| Phone: | 7759825003 |
| Fax: | 7759825103 |
Provider Mailing Location
850 HARVARD WAY
RENO
NV
895022055
Provider Mailing Phone/Fax
| Phone: | 7759825262 |
| Fax: | 7759825496 |