| NPI | 1891520631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH BEREJNAYA Co Owner 775-848-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |