| NPI | 1861970261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BLAKESLEE LORENTZ Nurse Practitioner 702-327-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002445) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-01-23 |