NPI | 1205509510 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY BRYANT CEO 480-500-8065 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2021-08-01 |
Last Update Date | 2025-08-18 |