| NPI | 1225726292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BRYANT COO 480-500-8065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2025-08-18 |