ERICH WIDEMARK, PHD, FNP-BC

Nurse Practitioner - Family

Active Individual
NPI: 1669468260

Practice Address

14415 W MCDOWELL RD
GOODYEAR
Goodyear, AZ 85395

Phone: (623) 512-4190

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 083736 (AZ)

Frequently Asked Questions

NPI 1669468260 is the National Provider Identifier for ERICH WIDEMARK, PHD, FNP-BC, a Nurse Practitioner - Family provider located in Goodyear, AZ. This NPI was enumerated on September 20, 2005.
ERICH WIDEMARK, PHD, FNP-BC practices at 14415 W MCDOWELL RD, GOODYEAR, Goodyear, AZ 85395.

Quick Facts

NPI
1669468260
Type
Individual
Enumerated
Sep 20, 2005
Last Updated
Nov 19, 2009

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