| NPI | 1669258109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GOCKE Owner/Authorized Official 775-315-7595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |