| NPI | 1396137022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J MEMMOLI Medical Director 702-656-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001414) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-07-20 |