Individual
DEBRA D. GWERDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
2733 N POWER RD STE 102-220, MESA, AZ 85215-1758
(480) 364-5149
(480) 900-8476
Mailing address
2733 N POWER RD STE 102-220, MESA, AZ 85215-1758
(480) 364-5149
(480) 900-8476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
046515
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP0700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
548331
—
AZ
Enumeration date
07/12/2006
Last updated
04/02/2021
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