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Search › Arizona › 363LP2300X

Jeanie Wildes, NP

NPI 1245390376 · on the registry since 2006

Practice

Address
6446 State Route 179 Ste 209
Sedona, AZ 86351
Phone
(928) 204-4900
Fax
(928) 204-4905
Organisation at this address
Megan Booth Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
363LF0000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona