NPI | 1154874030 |
---|---|
Doing Business As | FAMILY ALLERGY CLINIC & WELLNESS CENTER |
Doing Business As | ALLERGY NAVIGATORS |
Entity Type | Organization |
Authorized Contact | MELISSA LEANN FERRELL Member 480-827-9945 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5550) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: AZ 2543) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2020-12-17 |