| Erich A Widemark, PHD, FNP-BC | |
|
14415 W Mcdowell Rd, Goodyear, Goodyear, AZ 85395-2521 | |
| (623) 512-4190 | |
| (623) 512-4194 |
| Full Name | Erich A Widemark |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 14415 W Mcdowell Rd, Goodyear, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669468260 | NPI | - | NPPES |
| 630344 | Medicaid | AZ | |
| 630344001 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 083736 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Erich A Widemark, PHD, FNP-BC 14415 W Mcdowell Rd, Suite D2, Goodyear, AZ 85395-2521 Ph: (623) 512-4190 | Erich A Widemark, PHD, FNP-BC 14415 W Mcdowell Rd, Goodyear, Goodyear, AZ 85395-2521 Ph: (623) 512-4190 |
Benilde Mwiseneza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-295-1190 | |
Jennifer Mae Prescott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 N Litchfield Rd Ste 200, Goodyear, AZ 85338 Phone: 602-243-7277 Fax: 602-323-8048 | |
Miss Kathryn Leigh Miller, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395 Phone: 623-512-4390 | |
Amanda Jo Frary, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-404-3046 | |
Shannon Torrez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16751 W Shiloh Ave, Goodyear, AZ 85338 Phone: 480-372-7703 | |
Yvette Thorson, PA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338 Phone: 623-321-5079 Fax: 623-321-5083 | |
Allison Marie Popa, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2840 N Dysart Rd, Goodyear, AZ 85395 Phone: 623-536-5309 |