NPI | 1932087400 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICK BURCIAGA COO 702-763-7443 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-08-23 |
Last Update Date | 2025-08-24 |