NPI | 1831380781 |
---|---|
Entity Type | Organization |
Authorized Contact | SHUREE K OLDEHOEFT Owner 480-766-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 3164) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2011-08-22 |