# CANYONLANDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912295106
- **Authorized official:** MRS. JO-ANN DRAPER FNP-C (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (928) 428-1500

## Contact information

- **Practice address:** 618 S. CENTRAL AVENUE, SAFFORD, AZ 85546
- **Practice address phone:** (928) 428-1500
- **Practice address fax:** (928) 428-1555
- **Mailing address:** 618 S. CENTRAL AVE, SAFFORD, AZ 85546
- **Mailing address phone:** (928) 428-1500
- **Mailing address fax:** (928) 428-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | AP2847 | AZ | Yes |

## Other

- **Enumeration date:** 07/21/2011
- **Last updated:** 07/21/2011