| NPI | 1245777184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE P HERNANDEZ Nurse Practitioner/Owner 602-708-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7638) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |