Healthcare Provider Details

I. General information

NPI: 1811206238
Provider Name (Legal Business Name): MR. WARREN LEE CARTRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 W MOANA LN #375
RENO NV
89509-4991
US

IV. Provider business mailing address

745 W MOANA LN #375
RENO NV
89509-4991
US

V. Phone/Fax

Practice location:
  • Phone: 775-788-7600
  • Fax: 775-788-7611
Mailing address:
  • Phone: 775-788-7600
  • Fax: 775-788-7611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: