Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Medicine of Nevada PLLC

Organization Family Medicine Physician · NPI 1003409319

Functional Medicine of Nevada PLLC is a Family Medicine Physician 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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