| NPI | 1104119148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ALVAREZ Director, Credentialing 480-862-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2019-12-10 |