| NPI | 1396454070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REENA JOHN Managing Director 702-878-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-05-15 |