| NPI | 1144946765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE CAROLYN WELCH-OLIVER Nurse Practitioner 702-550-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-04-21 |