| NPI | 1467198580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAGNE ARIELLE DUAVE President 702-588-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |