Individual
WENDE MICHELE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
300 W CLARENDON AVE STE # 100, PHOENIX, AZ 85013
(602) 265-1112
(602) 264-4101
Mailing address
300 W CLARENDON AVE STE # 100, PHOENIX, AZ 85013
(602) 265-1112
(602) 264-4101
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP4003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375109
—
AZ
01
—
Z2135898
MEDICARE
AZ
Enumeration date
04/06/2011
Last updated
09/06/2023
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