MARY JANE WILD SORENSON

SHOW LOW, AZ
NPI1851870919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP11648)
Enumeration Date2018-08-09
Last Update Date2024-02-07
Business Address
Mrs. MARY JANE WILD SORENSON FNP-C
5300 S SUTTER DR STE A
SHOW LOW, AZ 85901-8054
Phone number: 928-251-4244
Mailing Address
Mrs. MARY JANE WILD SORENSON FNP-C
1857 N SPRINGER MOUNTAIN DR
LAKESIDE, AZ 85929-6617
Phone number: 520-730-3074