Individual
MRS. SHANNON ROCHELE WIDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
10851 W WILLIAMS RD, SUN CITY, AZ 85373-3375
(623) 412-5279
Mailing address
30898 N 126TH DR, PEORIA, AZ 85383-5042
(602) 570-7843
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN160688
AZ
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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