| NPI | 1902532336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PENNA Owner 702-529-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 364SC2300X Clinical Nurse Specialist, Chronic Care |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |