Individual
DANIELLA C WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7010 E ACOMA DR STE 102, SCOTTSDALE, AZ 85254-3550
(480) 575-0576
Mailing address
189 S PRESIDIO DR, GILBERT, AZ 85233-4768
(480) 862-9653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
294565
AZ
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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