| NPI | 1881974731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA M SPRADLING Owner 623-387-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3720) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2020-01-17 |