| NPI | 1447864202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WADE Dnp/Authorized Official 480-550-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |