NPI | 1144912494 |
---|---|
Other Name | STAR NORTH |
Entity Type | Organization |
Authorized Contact | SUZANNE LOUISE LEGANDER C.E.O. 602-717-5049 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-05-24 |