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

Provider Network, Inc

Organization Family Medicine Physician · NPI 1508811084

Provider Network, Inc is a Family Medicine Physician in Fernley, Nevada. Licensed in Nevada. Registered with an NPI since 2006.

Licensed in
NV
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1343 Newlands Dr W
Fernley, NV 89408-8926
Phone: (775) 982-5000
Fax: (775) 982-6504
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NV)

Record details

NPI number1508811084
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHometown Health Management Company
Authorized official Brett Moore — Cfo Acute Care · (775) 982-6343
Other names Fernley Medical Group; Fernley Medical Group
NPI enumeratedMay 23, 2006
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address1155 Mill St # M14, Reno, NV 89502-1576

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