Organization
COVENANT WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DALE HILBURN NP-C (OWNER/PROVIDER)
(806) 336-9061
Entity
Organization
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 226-6400
Mailing address
5440 S J DIAMOND RD, FLAGSTAFF, AZ 86005-9329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
12/04/2025
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