Provider Demographics
NPI:1831390756
Name:NORTHERN NEVADA WOMEN'S GROUP
Entity type:Organization
Organization Name:NORTHERN NEVADA WOMEN'S GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-829-9500
Mailing Address - Street 1:1500 E 2ND ST STE 408
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1197
Mailing Address - Country:US
Mailing Address - Phone:775-829-9500
Mailing Address - Fax:775-829-1234
Practice Address - Street 1:1500 E 2ND ST STE 408
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1197
Practice Address - Country:US
Practice Address - Phone:775-829-9500
Practice Address - Fax:775-829-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8903207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty