| NPI | 1609930932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA JEANETTE PETERSON Owner 480-221-5532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN089291) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |