NPI | 1649796343 |
---|---|
Entity Type | Organization |
Authorized Contact | BETHANY LYNN JAMESON Owner/CEO 480-414-8941 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10272) |
Enumeration Date | 2017-08-15 |
Last Update Date | 2023-10-08 |