Individual
DEBRA SHANNON WITTHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, DNP
Contact information
Practice address
10515 W SANTA FE DR BLDG B, SUN CITY, AZ 85351-3020
(623) 832-6530
Mailing address
10515 W SANTA FE DR BLDG B1, SUN CITY, AZ 85351-3020
(623) 832-6530
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
243265
AZ
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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