Individual
WENDY KAYE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9970 W BEARDSLEY RD, PEORIA, AZ 85382-2652
(623) 412-5404
Mailing address
9970 W BEARDSLEY RD, PEORIA, AZ 85382-2652
(623) 412-5404
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN140843
AZ
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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