person
Elizabeth Ann Wennerstrom, PA
Medical Physician Assistant in Peoria, Arizona
NPI 1114498029

Elizabeth Ann Wennerstrom is a Medical Physician Assistant based in Peoria, AZ and is specialized in Medical. Elizabeth Ann Wennerstrom practices in Peoria, AZ and has the professional credentials of PA. The NPI Number for Elizabeth Ann Wennerstrom is 1114498029 and holds a License No. 7262 (Arizona).

The current practice location address for Elizabeth Ann Wennerstrom is 13460 N 94Th Dr Ste J1, Peoria, AZ and can be reached out via phone at 623-876-8816 and via fax at 623-298-0168.

Location: 13460 N 94Th Dr Ste J1, Peoria, AZ, 85381-4264
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Provider Profile Details
NPI Number
1114498029
Provider Name
Elizabeth Ann Wennerstrom
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
13460 N 94Th Dr Ste J1, Peoria, AZ, 85381-4264
Phone Number
623-876-8816
Fax Number
623-298-0168
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125100 05 AZ
institution
Provider Business Practice Location Address Details
Address
13460 N 94Th Dr Ste J1
City
State
Zip
85381-4264
Phone Number
623-876-8816
Fax Number
623-298-0168
person
Provider Business Mailing Address Details
Address
13460 N 94Th Dr Ste J1
City
State
Zip
85381-4264
Phone Number
623-876-8816
Fax Number
623-298-0168
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
7262 (Arizona)
Definition
Definition to come...
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