Individual
KANANI WASILK-KINDRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
875 W PECOS RD APT 2113, CHANDLER, AZ 85225-7613
(503) 545-7917
Mailing address
875 W PECOS RD APT 2113, CHANDLER, AZ 85225-7613
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
237594
AZ
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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