| NPI | 1730799362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN BUCHANAN Owner/Partner 928-649-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |