| NPI | 1548871700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTA LANGDON Owner 480-546-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |