| NPI | 1861099798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITHO LOUISSAINT Member 480-471-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-10-29 |