| NPI | 1114341237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE MARTINEZ Office Manager 480-347-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP2677) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP0322) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP4859) | |
| 363LF0000X Nurse Practitioner Family (Licence: AZ F0513130) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |