| NPI | 1356164917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA DANIELLE GRIMES Owner/Nurse Practitioner 702-321-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-01-12 |