| NPI | 1821349895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY THOMAS-CARTER President 888-958-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1707) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP 3114) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1705) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-08-31 |