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 |