Healthcare Provider Details

I. General information

NPI: 1245974237
Provider Name (Legal Business Name): COMPREHENSIVE MEN AND WOMEN'S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 ELM ST STE 201
RENO NV
89503-4538
US

IV. Provider business mailing address

343 ELM ST STE 201
RENO NV
89503-4538
US

V. Phone/Fax

Practice location:
  • Phone: 775-470-6651
  • Fax:
Mailing address:
  • Phone: 775-470-6651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EDIN ABDAGIC
Title or Position: PRESIDENT
Credential: CNP, MSN
Phone: 702-690-1633