| NPI | 1114553229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCOTT JOHNSTON CFO 702-339-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 251F00000X Home Infusion | |
| 363A00000X Physician Assistant | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2025-05-21 |