| NPI | 1801636667 |
|---|---|
| Doing Business As | NEVADA COMMUNITY ENRICHMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JERRY KAPPELER Development 702-259-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |