| NPI | 1740013184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE KREK Ap RN/Owner 775-303-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |