| NPI | 1750809422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SIMON Cnm, Whnp Bc 602-818-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP7987) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ AP7653) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |