| NPI | 1073060166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA DIANE WAX Nurse Practitioner, First Assist 480-599-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3373) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |