NPI | 1861851222 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY MARTIN Nurse Practitioner 702-600-9037 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV aprn00437) |
Enumeration Date | 2016-02-14 |
Last Update Date | 2016-02-14 |