Individual
KERI MARIE WINGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CORNER OF ROUTE 7 AND ROUTE 12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
173 JENWILL DR, PURLEAR, NC 28665-8901
(336) 469-5517
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
292148
NC
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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