Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIANNA WILSON
Active Sole ProprietorSHIANNA WILSON is a Family Nurse Practitioner healthcare provider located in GOODYEAR, Arizona. NPI 1275399685 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · GOODYEAR, AZ
Registration Details
- NPI Number
- 1275399685
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2024 (2.4922976435057 yrs)
- Last Updated
- Mar 26, 2025
- License
-
249111 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13555 W MCDOWELL RD STE 101GOODYEAR, AZ, 853952625Browse AZ providers · Browse ZIP 85395
- Phone
- 6239354700
- Fax
- 6239354707
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| ERICH A WIDEMARK | PHD, FNP-BC | 1669468260 |
| MISS KATHRYN JOY PACKER | NURSE PRACTITIONER | 1700852928 |
| CAROL S ELDRIDGE | NP-C | 1215906714 |
| ADITI JOHNSON | FNP | 1730266289 |
| SUSAN A SCOTT | FNP | 1457497604 |
| BRIDGET DENISE BETHEA | NURSE PRACTITIONER | 1376733758 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.