| NPI | 1528748647 |
|---|---|
| Doing Business As | CENTEREDHEALTH FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DONA F RIVERA Owner 702-708-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-27 |