| NPI | 1891088803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M. RIVERA Family Nurse Practitioner 928-783-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 1944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 3602) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |