IndividualActive
Patrick Johannessen
NPI 1396682704 · Paramedic · Sparks, NV
Provider details
- NPI number
- 1396682704
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 78479 (NV)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
1605 Victorian Ave
Sparks, NV 89431-4822
Phone: (775) 353-2255
Approximate (ZIP-level) locationGet directions
Mailing address
4170 Pillary Ct
Sparks, NV 89436-7615
Registry dates
- Enumerated
- 2026-05-02
- Last updated
- 2026-05-02
- Certified
- 2026-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.