Organization · Type 2 NPI
Phoenix Skin and Wound Care
Nurse Practitioner · Gilbert, AZ
Practice location
4634 E Laurel Ct
Gilbert, AZ 85234-7849
Mailing address
1675 Marion Bennet Dr
Las Vegas, NV 89106-2462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1730067489
Phoenix Skin and Wound Care's National Provider Identifier is 1730067489, issued on Aug 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gilbert, AZ. The record was last updated on Aug 21, 2025.