Individual
MS. WENDY WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
824 S. SAN FRANCISCO ST., FLAGSTAFF, AZ 86001
(928) 523-8995
(928) 523-1102
Mailing address
PO BOX 6033, BUILDING 25, FLAGSTAFF, AZ 86011-0181
(928) 523-8995
(928) 523-1102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN088989
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 088989
STATE LICENSE
AZ
Enumeration date
11/08/2005
Last updated
08/16/2011
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