| NPI | 1104609932 |
|---|---|
| Doing Business As | VIRTUAL MED |
| Entity Type | Organization |
| Authorized Contact | MIANNA GALE Owner 480-603-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-09-17 |