| NPI | 1710766357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKIR SHAMSU ABDU Manager 702-826-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |