person
Erich A Widemark, PHD,FNP-BC
Family Nurse Practitioner in Goodyear, Arizona
NPI 1669468260

Erich A Widemark is a Family Nurse Practitioner based in Goodyear, AZ and is specialized in Family. Erich A Widemark practices in Goodyear, AZ and has the professional credentials of PHD,FNP-BC. The NPI Number for Erich A Widemark is 1669468260 and holds a License No. 083736 (Arizona).

The current practice location address for Erich A Widemark is 14415 W Mcdowell Rd, Goodyear, AZ and can be reached out via phone at 623-512-4190 and via fax at 623-512-4194. You can also correspond with Erich A Widemark through the mailing address at 14415 W MCDOWELL RD, GOODYEAR, AZ - 85395-2521 (mailing address contact number: 623-512-4190).

Location: 14415 W Mcdowell Rd, Goodyear, AZ, 85395-2521
person
Provider Profile Details
NPI Number
1669468260
Provider Name
Erich A Widemark
Credential
PHD,FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
14415 W Mcdowell Rd, Goodyear, AZ, 85395-2521
Phone Number
623-512-4190
Fax Number
623-512-4194
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
630344 05 AZ
630344001 05 AZ
institution
Provider Business Practice Location Address Details
Address
14415 W Mcdowell Rd
City
State
Zip
85395-2521
Phone Number
623-512-4190
Fax Number
623-512-4194
person
Provider Business Mailing Address Details
Address
14415 W Mcdowell Rd
City
State
Zip
85395-2521
Phone Number
623-512-4190
Fax Number
623-512-4194
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
083736 (Arizona)
Definition
Definition to come...
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