| NPI | 1679169767 |
|---|---|
| Doing Business As | EMERALD MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | EMERALD SONICO Owner 702-780-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-01-31 |