| NPI | 1780151589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARIAH RINKE Business Partner 602-361-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-11-29 |