NPI | 1417469669 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER GRESHAM Family Nurse Practitioner 623-226-8105 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8433) |
Enumeration Date | 2017-10-27 |
Last Update Date | 2017-10-27 |