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

Northeastern Nevada Physician Practices LLC

Organization Family Medicine Physician · NPI 1730408949

Northeastern Nevada Physician Practices LLC is a Family Medicine Physician in Elko, Nevada. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1995 Errecart Blvd Ste 203
Elko, NV 89801-8346
Phone: (775) 777-2061
Fax: (775) 777-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1730408949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
NPI enumeratedMay 27, 2010
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address1995 Errecart Blvd, Suite 203, Elko, NV 89801-8346

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