Individual
MARY ANN WOLFENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, DNP
Contact information
Practice address
4650 N CENTRAL AVE UNIT 174, PHOENIX, AZ 85012-1072
(708) 925-2502
Mailing address
4650 N CENTRAL AVE, PHOENIX, AZ 85012-1068
(708) 925-2502
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041197834
IL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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