Healthcare Provider Details

I. General information

NPI: 1497029193
Provider Name (Legal Business Name): GINA WILKINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2012
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10650 N ORACLE RD
ORO VALLEY AZ
85737-9301
US

IV. Provider business mailing address

10650 N ORACLE RD
ORO VALLEY AZ
85737-9301
US

V. Phone/Fax

Practice location:
  • Phone: 520-544-5544
  • Fax: 520-544-5544
Mailing address:
  • Phone: 520-544-5544
  • Fax: 520-544-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAZ297787
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: