Basic Information
| Provider Information | |||||||||
| NPI: | 1477877173 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANAST | ||||||||
| FirstName: | NICHOLAS | ||||||||
| MiddleName: | WILLIAM | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 343 ELM ST | ||||||||
| Address2: | STE 400 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895034522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757703209 | ||||||||
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| Practice Location | |||||||||
| Address1: | 235 W 6TH ST | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895034548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757703209 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2010 | ||||||||
| LastUpdateDate: | 10/09/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A117621 | CA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 15807 | NV | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.