Healthcare Provider Details

I. General information

NPI: 1366353153
Provider Name (Legal Business Name): EVOLVE WELLNESS AND MEDICAL COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 S MCCARRAN BLVD STE A3
RENO NV
89509-6119
US

IV. Provider business mailing address

6490 S MCCARRAN BLVD STE A3
RENO NV
89509-6119
US

V. Phone/Fax

Practice location:
  • Phone: 775-335-9832
  • Fax:
Mailing address:
  • Phone: 775-335-9832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY SANGUINETTI
Title or Position: PHYSICIAN
Credential: MD
Phone: 775-335-9832