NPI | 1215615497 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA STORY WILLIAMS Owner/Nurse Practitioner 602-697-1147 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-07-07 |
Last Update Date | 2024-09-17 |