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

Pride Medical Spa and Wellness Center Inc

Organization Family Medicine Physician · NPI 1861036063

Pride Medical Spa and Wellness Center Inc is a Family Medicine Physician in Reno, Nevada. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6380 Mae Anne Ave Unit 7
Reno, NV 89523-4712
Phone: (775) 432-1500
Fax: (775) 432-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1861036063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Jones — Clinic Administrator · (775) 432-1500
Other names Radiance Ketamine Clinic; Radiance Ketamine Clinic
NPI enumeratedOctober 30, 2019
Last updated in NPPESApril 24, 2024
Certification dateDecember 17, 2019
Mailing address6380 Mae Anne Ave, Unit 7, Reno, NV 89523-4712

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