NPI | 1609323773 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA AYALA Practice Manager 775-322-3393 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN002249) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2019-03-07 |