| NPI | 1770939365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CARMELA MAGTOTO Owner 702-544-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| 208M00000X Hospitalist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |