| NPI | 1477095131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA JO RIEK Family Nurse Practitioner 480-208-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2022-06-15 |