| NPI | 1144739707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WALKER CFO 702-616-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-10-25 |