IndividualActive
Corey Matzkanin, AG-ACNP
NPI 1679210538 · Gerontology Nurse Practitioner · Reno, NV
Provider details
- NPI number
- 1679210538
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Male
- Sole proprietor
- No
- License
- 849173 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1155 Mill St
Reno, NV 89502-1576
Phone: (775) 982-7878
Fax: (775) 982-4196
Approximate (ZIP-level) locationGet directions
Mailing address
1155 Mill St # Ms 14
Reno, NV 89502-1576
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.