| Organization Name: | WILLOW OAK, INC. |
| NPI Number: | 1265500656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOANNE TIMPSON YARRISH (GENERAL MANAGER) |
| Mailing Address: | 1675 S. Berry Knoll Blvd Colorado City |
| State: | AZ US |
| Postal Code: | 860211549 |
| Phone Number: | 9288758750 |
| Fax Number: | 9288758752 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 06/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN083151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |