| NPI | 1164174272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMORY GODWIN CARINGAL GRIJALDO Nurse Practitioner/Owner 602-687-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2023-05-30 |