Individual
ASHLEY MEGHAN WANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(480) 307-6676
Mailing address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(480) 307-6676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101693
MA
363A00000X
Physician Assistant
PA9112753
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/14/2018
Last updated
06/13/2025
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