| 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 |