NPI | 1154801785 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN SOLINSKY Administrator 480-445-9840 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8832) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2018-08-14 |