GENA R WILSON

PHOENIX, AZ
NPI1861453490
Former NameGENA R SCOTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  AP6776)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  RN060806)
Enumeration Date2006-03-31
Last Update Date2018-07-25
Business Address
GENA R WILSON PNP
1920 E CAMBRIDGE AVE STE 304
PHOENIX, AZ 85006
Phone number: 602-933-4363
Mailing Address
GENA R WILSON PNP
3200 E CAMELBACK RD STE 250
PHOENIX, AZ 85018-2327
Phone number: 602-933-1813