| NPI | 1023886546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER JAMES CLAUSSEN President 928-499-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-02-05 |