Individual
WENDY G BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
77 W FOREST AVE STE 202, FLAGSTAFF, AZ 86001-1483
(928) 214-3884
(928) 214-3981
Mailing address
77 W FOREST AVE STE 202, FLAGSTAFF, AZ 86001-1483
(928) 214-3884
(928) 214-3981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN066394
AZ
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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