| NPI | 1508230269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONCIA J FOX Nurse Practitioner 602-705-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3694) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ Not yet known) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |