| NPI | 1376911925 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANGELA GOLDEN Family Nurse Practitioner 928-814-8011  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN038576)  | 
| Enumeration Date | 2015-09-11 | 
| Last Update Date | 2015-09-11 |