| NPI | 1750157483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAVIS Provider 602-344-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| 261Q00000X | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |