NPI | 1417537978 |
---|---|
Doing Business As | MY NP HEALTHCARE |
Entity Type | Organization |
Authorized Contact | GWENDOLYN MATHIS Ap RN 480-695-0943 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-04-09 |
Last Update Date | 2024-11-20 |