Wellness for Life Family Practice

NPI #1083263503 in Peoria, Arizona

Provider Information

NPI Number
1083263503
Entity Type
Organization
Organization Name
Wellness for Life Family Practice
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Sep 6, 2019
Last Updated
Sep 25, 2020

Practice Location

Address
20449 N LAKE PLEASANT RD STE 101
City
Peoria
State
Arizona
ZIP Code
85382-2707
Phone
(623) 322-0099

Authorized Official

Name
TONIA LANETTE GRAHAM, FNP-BC
Title
OWNER/NURSE PRACTITIONER
Phone
(623) 322-0099

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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