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 | 174N00000X Lactation Consultant, Non-RN |
163WL0100X Registered Nurse, Lactation Consultant | |
Enumeration Date | 2016-11-12 |
Last Update Date | 2022-06-15 |