Individual
MRS. MARILYN ANNE WYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MA
Contact information
Practice address
45012 W HONEYCUTT AVE, MARICOPA, AZ 85239-2842
(520) 568-6100
(520) 568-6109
Mailing address
18717 N MILLER WAY, MARICOPA, AZ 85239-6899
(520) 568-5300
(520) 568-6109
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN099816
AZ
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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