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 |