| NPI | 1114717501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANDERSON Owner/Authorized Official 480-228-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |