NPI | 1982059853 |
---|---|
Doing Business As | NIRVANA HOLISTIC HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | KENDRA ALYSSA AVANT-ORTIZ Chief Executive Officer 480-241-3710 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4495) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-09-28 |