NPI | 1609289438 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY WYER Owner/Manager 928-259-7565 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3257) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2014-12-18 |