| NPI | 1386210508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INTY ALLEN Owner/Provider 602-384-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2022-05-04 |