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Organization
SONORA FAMILY CARE
Active
Organization
SONORA FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN WISTER FNP-BC, ACNP-BC (OWNER)
(520) 335-6271
Entity
Organization
Contact information
Practice address
4996 E MEDITERRANEAN DR STE D, SIERRA VISTA, AZ 85635-2434
(520) 335-6271
(520) 335-6316
Mailing address
4996 E MEDITERRANEAN DR STE D, SIERRA VISTA, AZ 85635-2434
(520) 335-6271
(520) 335-6316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3956
AZ
Other
Enumeration date
01/12/2012
Last updated
07/16/2020
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