PHD, FNP-BC Erich A Widemark, NPI 1669468260
Family Nurse Practitioner in Goodyear, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1669468260 |
| NPI Entity Type | Individual |
| Provider Name | PHD, FNP-BC Erich A Widemark |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 14415 W Mcdowell Rd, Goodyear, Goodyear, AZ, US |
| Provider Mailing Address | 14415 W Mcdowell Rd, Suite D2, Goodyear, AZ, US, 853952521 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Family Nurse Practitioner |
| Classification | |
| Group | |
| License No. | 083736 |
| License State | AZ |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 630344 | AZ | MEDICAID | 05 |
| 630344001 | AZ | MEDICAID | 05 |
Other Providers in AZ, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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Kerri Hohn Individual |
2222 S Dobson Rd Bldg 9 |
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M.A., N.C.C., L.P.C Robert Dale Labrum Individual |
1845 S Dobson Rd Ste 101 |
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DR. M.D. Vincent Paul Goux Individual |
3320 N 3rd Ave |
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|
Atlas Medical Systems, Pllc Organization |
3320 N 3rd Ave |
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|
Tiana Elizabeth Roth Individual |
13162 W Clarendon Ave |
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|
Ngalle Homes Care Organization |
Mental Illness Community Based Residential Treatment Facility |
721 E Forge Ave |
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|
MR. MA, LISAC Woodrow Eugene Miller III Individual |
21085 W Park Meadows Dr |
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|
Christina Fitzpatrick Individual |
1 S Church Ave Ste 1200 |
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|
PA-C Abigail Jane Higgins Individual |
16611 S 40th St Ste 120 |
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|
RN Abbigael Naomi Simpson Individual |
1707 W Saint Marys Rd |
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|
Rehema Outpatient Treatment Center Llc Organization |
Mental Health Clinic/Center (Including Community Mental Health Center) |
1968a N Peart Rd Ste 3 |
|
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MRS. LCSW Colette Reon Hardesty-tesar X Individual |
3565 E Marshall Gulch Pl |
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|
MD Xiao Kristin Liang Individual |
7301 E 2nd St Ste 210 |
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|
RD Haley Dawn Smith Individual |
1200 N Beaver St |
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|
MD Nicole Marie Casey Individual |
3003 N 3rd St |
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|
Julie Ann Roberts Individual |
335 N Alma School Rd |
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MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
4525 E Le Marche Ave |
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|
LCSW Taylor Redding Individual |
3656 W Scavenger Dr |
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|
Sierra Vista Regional Health Center Medical Group Llc Organization |
5750 E Highway 90 Suite 200 |
||
|
PT Catherine Broadbent Individual |
23374 W Yuma Rd Ste 104 |
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