| NPI | 1366032864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYINK FALTER Nurse Practitioner 775-513-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 261QA0006X Clinic/Center, Ambulatory Fertility Facility | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-06-22 |