Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICH A WIDEMARK, PHD, FNP-BC
ActiveFamily Nurse Practitioner · GOODYEAR, AZ
Registration Details
- NPI Number
- 1669468260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.588063627186 yrs)
- Last Updated
- Nov 19, 2009
- License
-
083736 (AZ)
Practice Information
- Address
-
14415 W MCDOWELL RDGOODYEARGOODYEAR, AZ, 853952521Browse AZ providers · Browse ZIP 85395
- Phone
- 6235124190
- Fax
- 6235124194
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| MISS KATHRYN JOY PACKER | NURSE PRACTITIONER | 1700852928 |
| CAROL S ELDRIDGE | NP-C | 1215906714 |
| ADITI JOHNSON | FNP | 1730266289 |
| SUSAN A SCOTT | FNP | 1457497604 |
| BRIDGET DENISE BETHEA | NURSE PRACTITIONER | 1376733758 |
| MRS. SOPHIA RENEE BROWN | FNP-C | 1184810699 |
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.