| NPI | 1427757699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL SKINNER Sole Proprietor 928-530-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |