| NPI | 1538306360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA J. AMITRANO Owner / Manager 602-290-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2854) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |