Individual
DOROTHY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2055 E SOUTHERN AVE STE A, TEMPE, AZ 85282-7507
(602) 283-0080
(602) 283-0081
Mailing address
2055 E SOUTHERN AVE STE A, TEMPE, AZ 85282-7507
(602) 283-0080
(602) 283-0081
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN152235
AZ
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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