| NPI | 1063821783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA AYDIN Nurse Practitioner 702-475-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001782) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-07-24 |