Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS GWEN ELLEN MADDIX
Active Sole ProprietorMISS GWEN ELLEN MADDIX is a 385HR2055X healthcare provider located in PHX, Arizona. NPI 1073680195 is currently active in the NPPES registry. Verify at CMS.
385HR2055X · PHX, AZ
Registration Details
- NPI Number
- 1073680195
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2006 (19.751255679262 yrs)
- Last Updated
- Nov 19, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3436 W MALAPAIPHX, AZ, 85051Browse AZ providers · Browse ZIP 85051
- Phone
- 6025705742
- Primary Specialty
-
385HR2055X
385HR2055X
- Additional Specialty
- 385HR2055X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.