Widman, Mary Ann
Widman, Mary Ann is an individual health care provider with primary practice located at 1713 S Kofa Ave Suite A, Parker AZ 85344-6477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Widman, Mary Ann can be contacted via phone (928) 669-9700.Contact Information
Primary practice address
1713 S Kofa Ave Suite A
Parker AZ 85344-6477
Phone: (928) 669-9700
Fax: (928) 669-9104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP2864 | Arizona |
Profile Details
| NPI number | 1245428929 |
|---|---|
| LBN Legal business name | Widman, Mary Ann |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Apr 15th, 2015 - about 9 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245428929 | NPPES |
| Arizona | Other | P00458072 | RAILROAD MEDICARE |
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