| NPI | 1386481554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARYNNE QUINESARES Nurse Practitioner 702-403-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-16 |