| NPI | 1932648847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA FANNING Owner 702-328-7594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-01-07 |