Individual
MBI GWENDOLINE BESONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-RNP
Contact information
Practice address
6015 W PEORIA AVE, GLENDALE, AZ 85302-1213
(623) 344-4400
Mailing address
10108 W RAYMOND ST, TOLLESON, AZ 85353-4115
(623) 329-2578
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
235114
AZ
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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