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, Psych/Mental Health |
Enumeration Date | 2023-12-14 |
Last Update Date | 2024-02-05 |