| NPI | 1508630542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMEL VILLAREAL Director Of Business Operations 702-444-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-08-27 |