| NPI | 1245691625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PURINTON Owner 928-300-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP3450) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |