Provider Demographics
NPI:1598143372
Name:TRIANA, STEPHEN
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:TRIANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 RAINBOW RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1844
Mailing Address - Country:US
Mailing Address - Phone:775-688-1481
Mailing Address - Fax:775-686-8413
Practice Address - Street 1:600 MILL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1030
Practice Address - Country:US
Practice Address - Phone:775-688-1481
Practice Address - Fax:775-686-8413
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator