| NPI | 1588108633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LEE GAINES-DILLARD Dnp 480-669-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8274) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |