Individual
GWENDOLINE DAPENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
286 S LENZNER AVE, SIERRA VISTA, AZ 85635-5685
(520) 452-0388
(877) 281-8622
Mailing address
286 S LENZNER AVE, SIERRA VISTA, AZ 85635-5685
(520) 452-0388
(877) 281-8622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9367699
FL
363LF0000X
Family Nurse Practitioner
11019321
FL
363LF0000X
Family Nurse Practitioner
Primary
339957
AZ
Other
Enumeration date
10/08/2019
Last updated
07/09/2026
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