| NPI | 1003323510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE TATE Owner/Nurse Practitioner 775-636-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN000913) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |