| NPI | 1922806017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA LUISA PINTO MORANTE Manager 602-686-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-07-14 |