| NPI | 1194619973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYA ZAMANIAN Owner 702-510-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-30 |