| NPI | 1982417747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IREDILA BYNUM Managing Member 702-588-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-02-03 |