| NPI | 1093587024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L SCHULTZ Owner 602-663-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-04-15 |