| NPI | 1033996004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY D TAYLOR Nurse Practitioner 602-622-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |