Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Life Medical

Organization Wound Care Registered Nurse · NPI 1891520631

Active Life Medical is a Wound Care Registered Nurse in Reno, Nevada. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

971 W Moana Ln
Reno, NV 89509-4844
Phone: (775) 842-0065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Wound Care Registered Nurse (primary) Taxonomy 163WW0000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1891520631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edith Berejnaya — Co-Owner · (775) 848-6085
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateAugust 30, 2024
Mailing address971 W Moana Ln, Reno, NV 89509-4844

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