| NPI | 1104051432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE DAY CROSSON Owner 702-454-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164480) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |