NPI 1043979214
Amanda Wilson
Practice location
- Address
- 411 E Indian School Rd APT 2119, Phoenix, AZ 85012-1886
- Phone
- (480) 241-2197
- Mailing address
- 1701 E Meadowbrook Ave APT 346, Phoenix, AZ 85016-5113
Registered specialties
Clinical Laboratory Director (Non-physician)
Primary
Registry record
- NPI
- 1043979214
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Dec 2021
- Record last updated
- 15 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.