NPI | 1609347301 |
---|---|
Entity Type | Organization |
Authorized Contact | ABEGAIL CONCON Ap RN 702-778-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2018-12-07 |
Last Update Date | 2024-08-20 |