| Doctor Name: | MS. WENDY WETZEL |
| NPI Number: | 1609857606 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN FNP |
| License Number: | RN088989 |
| Business Practice Address: | 824 S. San Francisco St. Flagstaff, AZ - 86001 |
| Business Phone Number: | 9285238995 |
| Business Fax Number: | 9285231102 |
| Mailing Address: | Po Box 6033, Building 25 FLAGSTAFF |
| State: | AZ |
| Postal Code: | 860110181 |
| Phone Number: | 9285238995 |
| Fax Number: | 9285231102 |
| NPI Enumeration Date: | 11/08/2005 |
| NPI Last Update Date: | 08/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | RN088989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |