IndividualActive
Carolyn Wanyama
NPI 1871029090 · Nursing Home Administrator · Maricopa, AZ
Provider details
- NPI number
- 1871029090
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AL10166H (AZ)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
44880 W Portabello Road
Maricopa, AZ 85139
Phone: (520) 494-2626
Approximate (ZIP-level) locationGet directions
Mailing address
44880 W Portabello Road
Maricopa, AZ 85139
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2017-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.