| NPI | 1457173312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CARONE Nurse Practitoner 928-556-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 111NN0400X Chiropractor, Neurology | |
| 207K00000X Allergy & Immunology | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2025-12-11 |