Individual
DEVYN ALEXANDRIA WENGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W THOMAS RD STE 400, PHOENIX, AZ 85013-4238
(602) 406-3874
(602) 406-2335
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN197419
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
299049
AZ
Other
Enumeration date
08/01/2023
Last updated
12/06/2024
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