Most Relevant Information
Provider Data
| NPI Number: | 1003488214 |
| Provider Name: | SHIVA ADHAM NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN-841794 |
Most Important Dates
| Enumeration Date: | 07/15/2021 |
| Last Updated: | 04/11/2024 |
Provider Practice Location
5437 KIETZKE LN
RENO
NV
895111088
Practice Location Phone/Fax
| Phone: | 7753224550 |
| Fax: | 7753224956 |
Provider Mailing Location
5437 KIETZKE LN
RENO
NV
895111088
Provider Mailing Phone/Fax
| Phone: | 7553224550 |
| Fax: | 7753224956 |