| NPI | 1538936356 |
|---|---|
| Former Legal Business Name | ANU MEDICAL, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DERRICK MILLER Fnp 480-670-6397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-13 |