Individual provider · Type 1 NPI

Devyn Alexandria Wengraf

Gerontology Nurse Practitioner · Phoenix, AZ

NPI number 1487336293 Active

Practice location

500 W Thomas Rd Ste 400
Phoenix, AZ 85013-4238

Fax (602) 406-2335

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN197419 (AZ)
Gerontology Nurse Practitioner Primary 363LG0600X299049 (AZ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1487336293

Devyn Alexandria Wengraf's National Provider Identifier is 1487336293, issued on Aug 1, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 6, 2024.