Organization
WELLNESS FOR LIFE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA LANETTE GRAHAM FNP-BC (OWNER/NURSE PRACTITIONER)
(623) 322-0099
Entity
Organization
Contact information
Practice address
20449 N LAKE PLEASANT RD STE 101, PEORIA, AZ 85382-2707
(623) 322-0099
(866) 228-5038
Mailing address
20449 N LAKE PLEASANT RD STE 101, PEORIA, AZ 85382-2707
(623) 322-0099
(866) 228-5038
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/25/2020
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