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Alliance Wound Care Services PLLC

Nurse Practitioner in Surprise, AZ. Organization (NPI-2).

NPI number1083406722
StatusActive
Last updated in NPPESJan 28, 2026

Details

NPI
1083406722
Entity type
Organization (NPI-2)
Legal business name
Alliance Wound Care Services PLLC
Organization subpart
No
Enumeration date
May 19, 2025
Certification date
Jan 28, 2026
Last updated
Jan 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

17316 N Kimberly Way
Surprise, AZ 85374-9686

Phone 575-491-5367

Mailing address

4 Dominion Drive
Bldg 4, Ste 100
San Antonio, TX 78257

Phone 210-850-5790

Authorized official

Brenda Lea Baker
Ceo
8887061444

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