NPI | 1144063629 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE L ENTENZA Owner/Provider 702-553-4105 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-08-25 |