| NPI | 1639530470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI A SWEGINNIS Owner 928-458-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5661) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |