NPI 1215165246

Donna Wilson

Practitioner Child Mental Illness Respite Care Buckeye, AZ

Practice location

Address: 19727 W Narramore Rd, Buckeye, AZ 85326-4238
Phone: (765) 545-0986

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence 1736383 (AZ)

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Registry record

NPI: 1215165246
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2009
Record last updated: 29 Jun 2009

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.