Individual
MICHELLE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 W SURREY AVE, PEORIA, AZ 85381-5010
(602) 245-0997
Mailing address
6802 W SURREY AVE, PEORIA, AZ 85381-5010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN208337
AZ
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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