NPI | 1629486113 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISTY M THOMAS Provider/Owner 702-731-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV rn37436) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2022-06-22 |