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Nijera Shanel Wildman
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1801480736

Nijera Shanel Wildman is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Nijera Shanel Wildman practices in Glendale, AZ. The NPI Number for Nijera Shanel Wildman is 1801480736 and holds a License No. (Arizona).

The current practice location address for Nijera Shanel Wildman is 17235 N 75Th Ave Ste F100, Glendale, AZ and can be reached out via phone at 480-641-1165.

Location: 17235 N 75Th Ave Ste F100, Glendale, AZ, 85308-0831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801480736
Provider Name
Nijera Shanel Wildman
Credential
Provider Entity Type
Individual
Gender
Female
Address
17235 N 75Th Ave Ste F100, Glendale, AZ, 85308-0831
Phone Number
480-641-1165
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17235 N 75Th Ave Ste F100
City
Glendale
State
Arizona
Zip
85308-0871
Phone Number
480-641-1165
Fax Number
person
Provider Business Mailing Address Details
Address
17235 N 75Th Ave Ste F100
City
Glendale
State
Arizona
Zip
85308-0871
Phone Number
480-641-1165
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Arizona)
Definition
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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