NPI | 1851478333 |
---|---|
Doing Business As | OPTUM PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Regional Manager 702-480-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2130) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-09-02 |