NPI | 1992153696 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA LEANN FERRELL Owner 480-827-9945 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5550) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2020-12-17 |