Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nijera Shanel Wildman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801480736

Nijera Shanel Wildman is a Student in an Organized Health Care Education/Training Program in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021

Practice location Address checks out

17235 N 75th Ave Ste F100
Glendale, AZ 85308-0871
Phone: (480) 641-1165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)

Record details

NPI number1801480736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2021
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

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