| NPI | 1740677996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER O MCCOY Owner 480-338-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN088543) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |