| NPI | 1801464110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNIE M BUDET Billing/Credentialing 702-462-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 171400000X Health & Wellness Coach | |
| 175F00000X Naturopath | |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 225100000X Physical Therapist | |
| 261Q00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-09-21 |