Provider Demographics
NPI:1699317966
Name:AIAZZI, RYAN JAMES (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:JAMES
Last Name:AIAZZI
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MCCABE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4816
Mailing Address - Country:US
Mailing Address - Phone:775-204-4000
Mailing Address - Fax:775-374-4026
Practice Address - Street 1:15 MCCABE DR STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4816
Practice Address - Country:US
Practice Address - Phone:775-204-4000
Practice Address - Fax:775-374-4026
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV824715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily