NPI | 1609610666 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE SEARS Owner 602-615-0876 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-06-24 |