| NPI | 1942874557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA SULEYMANOVA Owner 480-828-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |