Individual
MRS. BROOKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
485 S DOBSON RD STE 101, CHANDLER, AZ 85224-5603
(480) 728-4981
(480) 728-4985
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
220075
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
220075
AZ
Other
Enumeration date
11/08/2018
Last updated
11/06/2024
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