| NPI | 1508378977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MARIE FEDERIZO Delegated Official 702-506-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 163WH0500X Registered Nurse Hemodialysis |
| 207RH0000X Internal Medicine Hematology | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-10-20 |