| NPI | 1083088421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENTIN CARMICHAEL SHAMBLEY Nurse Practitioner 480-718-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ AP4318) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |