Individual provider · Type 1 NPI

Elizabeth Ann Wennerstrom, PA

Medical Physician Assistant · Peoria, AZ

NPI number 1114498029 Active

Practice location

13460 N 94th Dr Ste J1
Peoria, AZ 85381-4264

Fax (623) 298-0168

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7262 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1114498029

Elizabeth Ann Wennerstrom, PA's National Provider Identifier is 1114498029, issued on Dec 17, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peoria, AZ. The record was last updated on Jan 18, 2024.