| NPI | 1326425794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER SIMMONS Owner 480-398-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |