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 |