NPI | 1205539004 |
---|---|
Entity Type | Organization |
Authorized Contact | ANZHELA DAVYDOV Nurse Pracitioner 480-808-9561 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-04-13 |