| NPI | 1134820780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE EKREN Member/Manager 480-326-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2024-05-08 |