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

Chanmorokoth Tiv

Individual provider Licensed Practical Nurse · NPI 1427860089

Chanmorokoth Tiv is a Licensed Practical Nurse in Reno, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2025

Practice location Address checks out

10345 Professional Cir Ste 125
Reno, NV 89521-3100
Phone: (775) 348-7300
Fax: (855) 253-3789
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 884707 (NV)

Record details

NPI number1427860089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address11039 Zeolite Dr, Reno, NV 89506-1639

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