NPI | 1669045340 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA F MOORER Family Nurse Practitioner 623-202-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2021-07-21 |
Last Update Date | 2023-09-06 |