| NPI | 1225500622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONITA HENRY CEO 702-785-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2020-05-10 |