NPI 1871029090

Carolyn Wanyama

Practitioner Nursing Home Administrator Maricopa, AZ

Practice location

Address: 44880 W Portabello Road, Maricopa, AZ 85139
Phone: (520) 494-2626

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence AL10166H (AZ)

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Registry record

NPI: 1871029090
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2017
Record last updated: 8 May 2017

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.