| NPI | 1366115362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY DAWN O'CONNELL Owner / Authorized Official 702-992-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |