Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pride Medical Spa and Wellness Center Inc

Organization Family Medicine Physician · NPI 1861036063

Pride Medical Spa and Wellness Center Inc provides Family Medicine Physician services 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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