| NPI | 1316356207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN B EMBRY Provider 480-376-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP0240) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP0240) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP0240) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2015-12-15 |