| NPI | 1245974237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIN ABDAGIC President 702-690-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-02-16 |