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

Individual provider Family Nurse Practitioner · NPI 1386250439

Moboluwaduro Remi-Johnson is a Nurse Practitioner in Reno, Nevada. Qualified in 2020, 6 years ago. Practices with Boulder Care Provider Group PA, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2020
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Practice location Address checks out

55 Damonte Ranch Pkwy
Reno, NV 89521-2996
Phone: (775) 852-9304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 838792 (NV)

Record details

NPI number1386250439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Boulder Care Provider Group Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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