Miya, Caroline Waceke

Miya, Caroline Waceke is an individual health care provider with primary practice located at 11361 N 99Th Ave Ste 200 , Peoria AZ 85345-5470. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Miya, Caroline Waceke can be contacted via phone (602) 650-1212.

Contact Information

Primary practice address
11361 N 99Th Ave Ste 200 Peoria AZ 85345-5470
Phone: (602) 650-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN162403 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 223230 Arizona

Profile Details

NPI number 1992266712
LBN Legal business name Miya, Caroline Waceke
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Mar 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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