NPI | 1841984564 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSANNE UHRIG Owner Provider 480-980-2735 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-06-06 |