NPI | 1699135483 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW MICHAEL RHODES President 602-699-6353 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8585) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 41767) |
363LP2300X Nurse Practitioner, Primary Care | |
111NR0400X (Licence: AZ 7417) | |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AZ RN198428) | |
Enumeration Date | 2016-03-07 |
Last Update Date | 2019-07-05 |