| NPI | 1538956842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT Manager 702-580-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-05-16 |