Individual
CHERYL A WIEWECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3555 S VAL VISTA DR, GILBERT, AZ 85297-7323
(602) 933-6345
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 266-3481
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN098549
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
098549
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBD
AHCCCS
AZ
05
—
TBD
—
AZ
Enumeration date
02/25/2008
Last updated
12/09/2020
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