| NPI | 1770459059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAGNE ARIELLE R DUAVE Managing Member 702-969-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |