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Kristine Wullenweber
Day Training/Habilitation Specialist in Flagstaff, Arizona
NPI 1629122726

Kristine Wullenweber is a Day Training/Habilitation Specialist based in Flagstaff, AZ. Kristine Wullenweber practices in Flagstaff, AZ. The NPI Number for Kristine Wullenweber is 1629122726 and holds a License No. 706 (Arizona).

The current practice location address for Kristine Wullenweber is 11380 N Onika Ln, Flagstaff, AZ and can be reached out via phone at 928-527-7992.

Location: 11380 N Onika Ln, Flagstaff, AZ, 86004-5547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629122726
Provider Name
Kristine Wullenweber
Credential
Provider Entity Type
Individual
Gender
Female
Address
11380 N Onika Ln, Flagstaff, AZ, 86004-5547
Phone Number
928-527-7992
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
888547 05 AZ
institution
Provider Business Practice Location Address Details
Address
11380 N Onika Ln
City
Flagstaff
State
Arizona
Zip
86004-5547
Phone Number
928-527-7992
Fax Number
person
Provider Business Mailing Address Details
Address
11380 N Onika Ln
City
Flagstaff
State
Arizona
Zip
86004-5547
Phone Number
928-527-7992
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
706 (Arizona)
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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