Individual
GINA WILDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
500 W THOMAS RD STE 720, PHOENIX, AZ 85013
(602) 406-3715
(602) 406-4011
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4982
AZ
367A00000X
Advanced Practice Midwife
AP4982
AZ
Other
Enumeration date
05/23/2013
Last updated
07/26/2019
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