NPI | 1518653450 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE WALKER Manager 702-580-7997 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-04-13 |