Individual
DR. KAYLEE WADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(480) 964-2273
(480) 718-9477
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(480) 964-2273
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221070
AZ
363L00000X
Nurse Practitioner
221070
AZ
363LF0000X
Family Nurse Practitioner
Primary
221070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129023
—
AZ
Enumeration date
08/30/2023
Last updated
12/09/2024
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