| NPI | 1689473027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR KNUTZEN Owner 702-291-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-04-11 |