| NPI | 1356073852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN ROBERTS Owner 928-577-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |