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

Nathan Davis Heitzenrader

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417767435

Nathan Davis Heitzenrader is a Student in an Organized Health Care Education/Training Program in Reno, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

18600 Wedge Pkwy
Reno, NV 89511-3036
Phone: (775) 784-4838
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417767435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2025
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address5859 Solstice Dr, Sparks, NV 89436-7143

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