| NPI | 1649666843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SPEARS Owner 888-483-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2819) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |