| NPI | 1841914561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI MORRIS Pracrice Manager 702-326-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-10-17 |