Individual
JAMIE MARIE WIENTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 N 27TH PL, PHOENIX, AZ 85016-7443
(805) 377-2178
Mailing address
3232 N 27TH PL, PHOENIX, AZ 85016-7443
(805) 377-2178
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
264404
AZ
363LF0000X
Family Nurse Practitioner
Primary
264404
AZ
Other
Enumeration date
08/28/2023
Last updated
05/08/2026
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