| Doctor Name: | SCOTT WAYNE PERRENOD |
| NPI Number: | 1063523470 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | NP12667 |
| Business Practice Address: | 2305 Sunset Blvd Rocklin, CA - 957654337 |
| Business Phone Number: | 9166329606 |
| Business Fax Number: | 9166329706 |
| Mailing Address: | 200 S Virginia St Ste 800, Suite 430 RENO |
| State: | NV |
| Postal Code: | 895012409 |
| Phone Number: | 7754009645 |
| Fax Number: | 7756248187 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 02/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0106X |
| License Number: | NP12667 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Occupational Health |
| Taxonomy Definition: | |