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Individual

DEVIN L WENGERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PNP

Contact information

Practice address
5055 E BROADWAY BLVD STE A200, TUCSON, AZ 85711-3649
(520) 818-8810
(520) 818-8847
Mailing address
PO BOX 17749, TUCSON, AZ 85731-7749
(520) 618-8810
(520) 618-8847

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
223219
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223219
ARIZONA BOARD OF NURSING
AZ
Enumeration date
03/18/2019
Last updated
01/15/2026
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