| NPI | 1104700301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BROOKS Owner 775-544-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-09-18 |