| NPI | 1841045333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN CLARK Manager 702-582-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |