NPI | 1841062577 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER CHRISTINE FENDLER Nurse Practitioner 602-370-5195 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-10-25 |
Last Update Date | 2023-11-27 |