| NPI | 1114393568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M MCGINNIS President 702-706-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001078) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-03-20 |