| NPI | 1780110247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON A FAILLA Owner 702-443-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002252) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002252) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |