| NPI | 1114230893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER YVONNE TILGNER Owner 928-854-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AZ AP3726) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2018-05-23 |