| NPI | 1073384673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLEEN YAHL Owner 480-712-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-08-07 |