| NPI | 1588481030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA GEORGINA LEDESMA Owner 602-218-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-10-04 |