| NPI | 1881309227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNANTE P VILLAHERMOSA Managing Director 702-918-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-02-21 |