| NPI | 1174398770 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JULIE ROSER VP Of Business Operations 775-222-0045  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine | 
| Additional Taxonomies | 363A00000X Physician Assistant | 
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-11-24 | 
| Last Update Date | 2025-05-23 |