| NPI | 1134065220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE LAZARO Nurse Practitioner 702-280-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |