NPI 1003409319

Functional Medicine of Nevada PLLC

Organisation Family Medicine Physician Reno, NV

Practice location

Address: 6490 S McCarran Blvd STE 16, Reno, NV 89509-6165
Phone: (208) 385-7711
Mailing address: 3858 N Garden Center Way STE 100, Boise, ID 83703-5008

Authorised official

Name: Sam Warren
Title: Ceo
Phone: (208) 385-7711

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Nevada →

Registry record

NPI: 1003409319
Entity type: Organization
NPI issued: 17 Feb 2021
Record last updated: 17 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.