Individual
CASEY GONIWIECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 634-5551
Mailing address
317 LAUGHING HILL DR, CLARKDALE, AZ 86324-3389
(586) 980-9785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
330546
AZ
Other
Enumeration date
10/07/2025
Last updated
10/22/2025
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