| NPI | 1376316240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BAKERMAN Nurse Practitioner 480-789-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-03 |