Wullenweber, Kristine

Wullenweber, Kristine is an individual health care provider with primary practice located at 11380 N Onika Ln , Flagstaff AZ 86004-5547. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Wullenweber, Kristine can be contacted via phone (928) 527-7992.

Contact Information

Primary practice address
11380 N Onika Ln Flagstaff AZ 86004-5547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 706 Arizona

Profile Details

NPI number 1629122726
LBN Legal business name Wullenweber, Kristine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629122726 NPPES
Arizona MEDICAID 888547

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