| NPI | 1952743213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN R BRISTOW Billing Manager 520-449-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: AZ AP3152) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2020-11-16 |