Individual
LAURA HELEN WEDEBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
5700 W OLIVE AVE STE 103, GLENDALE, AZ 85302-3147
(833) 510-4357
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5608
AZ
363LF0000X
Family Nurse Practitioner
COA.14959-NP
OH
Other
Enumeration date
09/25/2013
Last updated
01/23/2023
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