| NPI | 1215470885 |
|---|---|
| Doing Business As | OPTUM PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Regional Manager 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-09-02 |