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Individual

JORDAN WAYPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3841
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3841

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP5707
AZ

Other

Enumeration date
07/31/2014
Last updated
09/01/2015
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