NPI | 1699448910 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACIE DENIE JOHNSON-WAGNER Psychiatric Mental Health Np 520-635-6578 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2021-08-02 |
Last Update Date | 2024-05-10 |