Individual provider · Type 1 NPI

Wanda G. Ichiriu, PA

Physician Assistant · Mesa, AZ

NPI number 1366569246 Active

Practice location

4135 S Power Rd Ste 113
Mesa, AZ 85212-3625

Call (480) 626-2444 Map

Fax (480) 409-2987

Mailing address

PO Box 88747
Milwaukee, WI 53288-5499

Other practice locations

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 · (480) 301-8000
  • 6900 E Camelback Rd Ste 850, Scottsdale, AZ 85251-2443 · (602) 539-5495

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8561 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

6 other providers at this address

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About NPI 1366569246

Wanda G. Ichiriu, PA's National Provider Identifier is 1366569246, issued on Mar 23, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 21, 2022.