| NPI | 1467297531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BIGLEY Nurse Practitioner 928-607-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-07-02 |