Individual
WENDY S MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9261 W VAN BUREN ST, TOLLESON, AZ 85353-2941
(623) 936-9740
(623) 936-9757
Mailing address
6162 S 258TH DR, BUCKEYE, AZ 85326-2150
(801) 694-0645
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN115980
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN115980
ARIZONA RN LICENSE NUMBER
AZ
Enumeration date
10/06/2011
Last updated
10/06/2011
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