Individual
KATHARINE ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2727 W BASELINE RD STE 8, TEMPE, AZ 85283-1068
(602) 323-0904
Mailing address
2727 W BASELINE RD STE 8, TEMPE, AZ 85283-1068
(602) 323-0904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279274
AZ
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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