Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLAYNA RENEE WIEDOW AVILA, PA-C
ActiveELLAYNA RENEE WIEDOW AVILA, PA-C is a Surgical Physician Assistant healthcare provider located in CHANDLER, Arizona. NPI 1417435181 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CHANDLER, AZ
Registration Details
- NPI Number
- 1417435181
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2018 (8.0536628147974 yrs)
- Last Updated
- Dec 5, 2024
- License
-
7241 (AZ)
Practice Information
- Address
-
485 S DOBSON RD STE 110CHANDLER, AZ, 852245600Browse AZ providers · Browse ZIP 85224
- Phone
- 4807284470
- Fax
- 4807284499
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in CHANDLER, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN E HERTEL | PA-C | 1861491706 |
| MS. TARA E BURNS | PA | 1174519086 |
| DELIA BAUTISTA TOBIN | CRNFA | 1629032206 |
| CHRISTABELLE N WONG | PA-C | 1356305890 |
| GARY TRENT FULLMER | P.A.-C | 1427008150 |
| SUZANNE MARY VIENUZIS | PA-C | 1558315606 |
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.