Erich A Widemark, PHD, FNP-BC is a family nurse practitioner in Goodyear, AZ. Erich A Widemark, PHD, FNP-BC NPI is 1669468260. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
14415 W MCDOWELL RD
GOODYEAR
GOODYEAR, AZ
ZIP 85395-521
Phone: (623) 512-4190
Fax: (623) 512-4194
The enumeration date for this NPI number is 9/20/2005 and was last updated on 11/19/2009.