Organization · Type 2 NPI

Provider Network, Inc

Family Medicine Physician · Fernley, NV

NPI number 1508811084 Active

Practice location

1343 Newlands Dr W
Fernley, NV 89408-8926

Call (775) 982-5000 Map

Fax (775) 982-6504

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

Other family medicine physician providers in Fernley

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NPI record

NPI: 1508811084
Entity type: Organization (Type 2)
Issued: May 23, 2006
Last updated: Jun 7, 2024
Status: Active
Subpart: Yes of Hometown Health Management Company

Other names

<unavail>
Fernley Medical Group · doing business as
Fernley Medical Group · doing business as

Authorized official

Mr. Brett Moore
CFO Acute Care
(775) 982-6343

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508811084

Provider Network, Inc's National Provider Identifier is 1508811084, issued on May 23, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fernley, NV. The record was last updated on Jun 7, 2024.