| NPI | 1710650361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEE SHIPMAN Owner 775-233-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |