| NPI | 1487197091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMER CABRERA TUAZON Owner 702-417-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner Family (Licence: NV APRN001431) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-03-01 |