| NPI | 1730699281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WEBB CEO 480-502-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2021-02-09 |