| NPI | 1124538467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA CLARK Nurse Practitioner/Owner 702-622-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV APRN001435) |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2018-03-17 |