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Mrs. Mary Jane Wild Sorenson, FNP-C
Family Nurse Practitioner in Show Low, Arizona
NPI 1851870919

Mary Jane Wild Sorenson is a Family Nurse Practitioner based in Lakeside, AZ and is specialized in Family. Mary Jane Wild Sorenson practices in Show Low, AZ and has the professional credentials of FNP-C. The NPI Number for Mary Jane Wild Sorenson is 1851870919 and holds a License No. AP11648 (Arizona).

The current practice location address for Mary Jane Wild Sorenson is 5300 S Sutter Dr Ste A, Show Low, AZ and can be reached out via phone at 928-251-4244.

Location: 5300 S Sutter Dr Ste A, Show Low, AZ, 85929-6617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851870919
Provider Name
Mary Jane Wild Sorenson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5300 S Sutter Dr Ste A, Show Low, AZ, 85929-6617
Phone Number
928-251-4244
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5300 S Sutter Dr Ste A
City
Show Low
State
Arizona
Zip
85901-8054
Phone Number
928-251-4244
Fax Number
person
Provider Business Mailing Address Details
Address
5300 S Sutter Dr Ste A
City
Show Low
State
Arizona
Zip
85901-8054
Phone Number
928-251-4244
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP11648 (Arizona)
Definition
Definition to come...
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