| NPI | 1457794414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MARIE BROWN Secretary/Treasurer 928-772-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F1108184) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-05-16 |