Doctor Name: | MR. DALE WAYNE FLEWELLING |
NPI Number: | 1417912700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | RN061091 |
Business Practice Address: | Hu Hu Kam Memorial Hospital 483 W. Seed Farm Rd. Sacaton, AZ - 851470038 |
Business Phone Number: | 6025281200 |
Business Fax Number: | 6025281255 |
Mailing Address: | Hu Hu Kam Memorial Hospital, 483 W. Seed Farm Rd. SACATON |
State: | AZ |
Postal Code: | 851470038 |
Phone Number: | 6025281200 |
Fax Number: | 6025281255 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 02/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN061091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |