| NPI | 1487490421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE REYNOLDS Office Manager 702-886-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-02-07 |