| NPI | 1841225091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAIREE HARGETT Asst Manager, Provider Enrollment 775-222-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363L00000X Nurse Practitioner | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-02-24 |