Individual provider · Type 1 NPI
Jeanie M. Wildes, NP
Primary Care Nurse Practitioner · Sedona, AZ
NPI number
1245390376
Active
Practice location
6446 State Route 179 Ste 209
Sedona, AZ 86351-7991
Fax (928) 204-4905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AZAP1131 (AZ) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP1131 (AZ) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1245390376
Jeanie M. Wildes, NP's National Provider Identifier is 1245390376, issued on Dec 11, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sedona, AZ. The record was last updated on Apr 25, 2024.