| NPI | 1457933954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULINDA DANNIELLE ROLLINS Owner 702-636-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-07-09 |