Healthcare Provider Details

I. General information

NPI: 1588129902
Provider Name (Legal Business Name): MARY K WHEELER MCFARLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 02/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ADOBE CARE AND WELLNESS LLC ADDRESS IS 4041 S. MCCLINTOCK, STE 302
TEMPE AZ
85282
US

IV. Provider business mailing address

ADOBE CARE AND WELLNESS LLC ADDRESS IS 4041 S. MCCLINTOCK, STE 302
TEMPE AZ
85282
US

V. Phone/Fax

Practice location:
  • Phone: 520-233-7111
  • Fax:
Mailing address:
  • Phone: 520-233-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number219760
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: