Avila, Ellayna Renee Wiedow
Avila, Ellayna Renee Wiedow is an individual health care provider with primary practice located at 485 S Dobson Rd Ste 110 , Chandler AZ 85224-5600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Avila, Ellayna Renee Wiedow can be contacted via phone (480) 728-4470.Contact Information
Primary practice address
485 S Dobson Rd Ste 110
Chandler AZ 85224-5600
Phone: (480) 728-4470
Fax: (480) 728-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1417435181 |
|---|---|
| LBN Legal business name | Avila, Ellayna Renee Wiedow |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2018 |
| Last updated | Dec 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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