Individual
DR. KATI WIJDENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1530 E WILLIAMS FIELD RD STE 201-9, GILBERT, AZ 85295-1823
(480) 418-0184
(480) 602-5656
Mailing address
2747 E UNIVERSITY DR UNIT 31505, MESA, AZ 85275-0270
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8449
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G175516
IA
Other
Enumeration date
05/10/2016
Last updated
02/17/2025
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