| NPI | 1386070076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERCE WAYCHOFF Sole Mbr 602-482-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2015-05-22 |