| NPI | 1871031906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PATRICK Owner 702-672-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |