| NPI | 1023400652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROSS Executive Direrector 702-636-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NV APN00370) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |