| NPI | 1477012045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN PENNER Adult/Acute Care Nurse Practitioner 480-571-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2021-09-07 |