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

Functional Medicine of Nevada PLLC

Organization Family Medicine Physician · NPI 1003409319

Functional Medicine of Nevada PLLC provides Family Medicine Physician services in Reno, Nevada. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6490 S McCarran Blvd Ste 16
Reno, NV 89509-6165
Phone: (208) 385-7711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003409319
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFunctional Medicine of Idaho PC
Authorized official Sam Warren — Ceo · (208) 385-7711
NPI enumeratedFebruary 17, 2021
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021
Mailing address3858 N Garden Center Way Ste 100, Boise, ID 83703-5008

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