| NPI | 1275214439 |
|---|---|
| Former Legal Business Name | GENESIS OF PEACE PLLC |
| Entity Type | Organization |
| Authorized Contact | AKOSUA ANKAMAH MENSAH Owner/Nurse Practitioner 480-953-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-01-09 |