Healthcare Provider Details

I. General information

NPI: 1265202287
Provider Name (Legal Business Name): WENDY KRAMER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WENDY DE LOS SANTOS FNP-C

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2162 E WILLIAMS FIELD RD STE 111
GILBERT AZ
85295-0736
US

IV. Provider business mailing address

2162 E WILLIAMS FIELD RD STE 111
GILBERT AZ
85295-0736
US

V. Phone/Fax

Practice location:
  • Phone: 480-795-1515
  • Fax: 480-597-1723
Mailing address:
  • Phone: 480-795-1515
  • Fax: 480-597-1723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number298060
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number298060
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: