| NPI | 1568755510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA FORNO Psychiatric Nurse Practitioner 520-240-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60164040) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |