| Webster Wellness L.L.C. | |
|
5650 W Chandler Blvd Ste 2 Chandler AZ 85226-3328 | |
| (480) 999-4539 | |
| (480) 696-1997 |
| Full Name | Webster Wellness L.L.C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5650 W Chandler Blvd Ste 2, Chandler, Arizona |
| Authorized Official Name and Position | Lisa Wakefield (OWNER) |
| Authorized Official Contact | 4809994539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Webster Wellness L.L.C. 2820 S Alma School Rd Ste 18 Chandler AZ 85286-4394 Ph: (480) 999-4539 | Webster Wellness L.L.C. 5650 W Chandler Blvd Ste 2 Chandler AZ 85226-3328 Ph: (480) 999-4539 |
| NPI Number | 1346985512 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 07/08/2026 |
| Certification Date | 07/08/2026 |
| Medicare PECOS PAC ID | 5698156396 |
|---|---|
| Medicare Enrollment ID | O20230621003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346985512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Lisa Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043832264 PECOS PAC ID: 8224452610 Enrollment ID: I20200717001718 |
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