Functional Medicine of Nevada Pllc

NPI #1003409319 in Reno, Nevada

Provider Information

NPI Number: 1003409319
Entity Type: Organization
Organization Name: Functional Medicine of Nevada Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: FUNCTIONAL MEDICINE OF IDAHO PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 17, 2021
Last Updated: Feb 17, 2021

Practice Location

Address: 6490 S MCCARRAN BLVD STE 16
City: Reno
State: Nevada
ZIP Code: 89509-6165
Phone: (208) 385-7711

Authorized Official

Name: SAM WARREN
Title: CEO
Phone: (208) 385-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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