| NPI | 1750815304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKWEL AIYUK President 775-233-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-04-02 |