| NPI | 1336835404 |
|---|---|
| Doing Business As | FULL CIRCLE CARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELIZABETH STORY-SALACUP Nurse Practitioner 702-513-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-04-20 |