Individual
MS. WLATKA PERIC-KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, MSN
Contact information
Practice address
CARL T. HAYDEN VA MEDICAL CENTER, 650 E. INDIAN SCHOOL ROAD (CS111E-2), PHOENIX, AZ 85012-1892
(602) 277-5551
(602) 200-6004
Mailing address
4458 E JUANITA AVE, HIGLEY, AZ 85236-3461
(602) 277-5551
(480) 324-1776
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN037759
AZ
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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