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 |