| NPI | 1235906330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSY JOHN CEO 702-454-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |