| NPI | 1376481663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEACHES DUON Nurse Practitioner 702-630-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-04-03 |