| NPI | 1073033528 |
|---|---|
| Doing Business As | CCM MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MULLISSA MICHELLE CHILDRESS CEO 702-406-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-05-13 |