| NPI | 1780330241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SYZMANSKI Practice Manager 520-490-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-04-07 |