| NPI | 1699635946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WINSTON DEBRY Practice Owner 702-602-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-01-05 |