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