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General NPI Number Information
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NPI Number | 1972474203
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Entity Type | Organization
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Legal Business Name | CACTUS WREN HEALTH COLLECTIVE LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 650 N 6TH AVE
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City | TUCSON
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State | AZ
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Zip | 85705-8331
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Country | US
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Telephone | 510-809-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 738 N 5TH AVE
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City | TUCSON
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State | AZ
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Zip | 85705-8478
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | RAELYNNE WIEST
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Credential | FNP-C
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Telephone | 510-809-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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