| NPI | 1821858184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILEE MERRYFIELD Owner 702-518-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-06-19 |