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
035706
NY
363A00000X
Physician Assistant
Primary
PA101693
MA
363A00000X
Physician Assistant
PA9112753
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2018
Last updated
05/19/2026
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