| NPI | 1538956842 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MATTHEW SCOTT COO 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 | 2025-06-04 |