Individual provider · Type 1 NPI

Nijera Shanel Wildman

Student in an Organized Health Care Education/Training Program · Glendale, AZ

NPI number 1801480736 Active

Practice location

17235 N 75th Ave Ste F100
Glendale, AZ 85308-0871

Call (480) 641-1165 Map

Mailing address

17235 N 75th Ave
Glendale, AZ 85308-0831

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801480736

Nijera Shanel Wildman's National Provider Identifier is 1801480736, issued on Feb 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Feb 22, 2021.