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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WAYNE A. FORMICA

Active Organization

WAYNE A. FORMICA is a Community/Behavioral Health organization located in QUEEN CREEK, Arizona. NPI 1902092422 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · QUEEN CREEK, AZ

Registration Details

NPI Number
1902092422
Provider Type
Organization
NPI Issued
Sep 18, 2007 (18.72276623153 yrs)
Last Updated
Sep 18, 2007
License
LPC 10413 (AZ)

Practice Information

Address
2055 W FRUIT TREE LN
QUEEN CREEK, AZ, 852426356
Browse AZ providers · Browse ZIP 85242
Phone
4806774804
Fax
4806774804
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in QUEEN CREEK, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.