Individual
CHANEIL MARIE VONWILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 836-3446
(520) 836-8807
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
231486
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002926
—
AZ
Enumeration date
09/30/2019
Last updated
12/12/2022
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