| Sierra Dragonfly Center Llc | |
|
1325 Airmotive Way Ste 140 Reno NV 89502-3283 | |
| (775) 389-5433 | |
| (775) 387-4845 |
| Full Name | Sierra Dragonfly Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1325 Airmotive Way Ste 140, Reno, Nevada |
| Authorized Official Name and Position | Bobbi Wilkinson (OWNER/CREATIVE DIRECTOR) |
| Authorized Official Contact | 7753895433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Dragonfly Center Llc 1325 Airmotive Way Ste 140 Reno NV 89502-3283 Ph: (775) 389-5433 | Sierra Dragonfly Center Llc 1325 Airmotive Way Ste 140 Reno NV 89502-3283 Ph: (775) 389-5433 |
| NPI Number | 1710559398 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Medicare PECOS PAC ID | 3375070857 |
|---|---|
| Medicare Enrollment ID | O20241223000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710559398 | NPI | - | NPPES |
| Provider Name | Pamela Denise Swanner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043570682 PECOS PAC ID: 9436686847 Enrollment ID: I20241226000746 |
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