| NPI | 1427309350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN EASTMAN Owner/President 928-453-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8759) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2016-08-03 |