Wodiuk, Gwen Annette

Wodiuk, Gwen Annette is an individual health care provider with primary practice located at 19389 N 59Th Ave , Glendale AZ 85308-6500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wodiuk, Gwen Annette can be contacted via phone (623) 537-6000.

Contact Information

Primary practice address
19389 N 59Th Ave Glendale AZ 85308-6500
Phone: (623) 537-6000
Fax: (623) 537-6014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2280 Arizona

Profile Details

NPI number 1467433839
LBN Legal business name Wodiuk, Gwen Annette
Credentials DNP, F.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Oct 28th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467433839 NPPES
Arizona MEDICAID 977861

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