| NPI | 1861959637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WILLIAM ROUSU Famiily Nurse Practitioner 480-818-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |