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Organization
THE WELLNESS AND PREVENTION CENTER, LLC
Active
Organization
THE WELLNESS AND PREVENTION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA M SPRADLING FNP-C (OWNER)
(623) 387-3705
Entity
Organization
Contact information
Practice address
5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302-3147
(623) 387-3705
(866) 941-5662
Mailing address
PO BOX 417, PEORIA, AZ 85380-0417
(623) 387-3705
(866) 941-5662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3720
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
638403
—
AZ
Enumeration date
08/24/2011
Last updated
01/17/2020
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