| 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 |