Individual
GWEN ANNETTE WODIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, F.N.P.
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2280
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977861
—
AZ
Enumeration date
11/10/2005
Last updated
10/28/2021
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