Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Nathan Davis Heitzenrader, PA-C

Individual provider Physician Assistant · NPI 1417767435

Nathan Davis Heitzenrader, PA-C is a Physician Assistant in Reno, Nevada. Licensed in Nevada. Registered with an NPI since 2025.

Licensed in
NV
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9480 Double Pkwy Ste 200 9480 Double Parkway Ste 200
Reno, NV 89521
Phone: (775) 784-4838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3532 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417767435
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2025
Last updated in NPPESOctober 2, 2026
Certification dateSeptember 30, 2026

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