| NPI | 1942024914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SHEEHAN Authorized Official 480-535-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |