Individual
TORI ANNE EDMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1595 ROBB DR STE 2, RENO, NV 89523-3527
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # MSM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22857
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
22857
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15662269
CAQH
—
05
—
250021271
—
NV
Enumeration date
06/13/2018
Last updated
01/12/2026
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