Individual
EDWARD W VANWOESIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
14961 W BELL RD STE 175, SURPRISE, AZ 85374-3220
(623) 242-9830
(623) 243-6733
Mailing address
15417 N 170TH AVE, SURPRISE, AZ 85388-1321
(623) 326-2787
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP8508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133428
—
AZ
Enumeration date
03/03/2016
Last updated
01/17/2019
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