| NPI | 1770027179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREN C PEDERSEN Family Nurse Practioner/Fnp 602-625-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7572) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2017-02-22 |