| NPI | 1003305616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELJENA MARIE PETERSON Manager 775-482-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002866) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |