Individual
MRS. BARBARA G WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN, RN
Contact information
Practice address
6116 EAST ARBOR AVE, SUITE 112, MESA, AZ 85206
(480) 641-5400
(480) 218-4353
Mailing address
14780 W MOUNTAIN VIEW BLVD, STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(855) 420-6361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3103
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370570
—
AZ
Enumeration date
07/17/2008
Last updated
07/25/2016
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