| NPI | 1750128252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DENINA Primary Care Nurse Practitioner 702-791-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |