| NPI | 1841152303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET MARTINEZ Owner 702-374-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-05 |