Individual provider · Type 1 NPI
Erich A. Widemark, PhD, FNP-BC
Family Nurse Practitioner · Goodyear, AZ
NPI number
1669468260
Active
Practice location
14415 W Mcdowell Rd, Goodyear
Goodyear, AZ 85395-2521
Fax (623) 512-4194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 083736 (AZ) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1669468260
Erich A. Widemark, PhD, FNP-BC's National Provider Identifier is 1669468260, issued on Sep 20, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Goodyear, AZ. The record was last updated on Nov 19, 2009.