| NPI | 1578072872 |
|---|---|
| Doing Business As | GANN HEALTHCARE AND SLEEP LAB |
| Entity Type | Organization |
| Authorized Contact | TARA GANN President 928-951-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP7879) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-01-13 |