Provider Demographics
NPI:1598566788
Name:HOLMES, DARIAN (RN)
Entity type:Individual
Prefix:
First Name:DARIAN
Middle Name:
Last Name:HOLMES
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:DARIAN
Other - Middle Name:
Other - Last Name:COGGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5725 RAINIER PEAK DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-1849
Mailing Address - Country:US
Mailing Address - Phone:408-838-6124
Mailing Address - Fax:
Practice Address - Street 1:10345 PROFESSIONAL CIR STE 125
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-3100
Practice Address - Country:US
Practice Address - Phone:775-348-7300
Practice Address - Fax:855-253-3789
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV821251163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse