| NPI | 1881283257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE JUSTE Owner 702-722-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-02-23 |