Healthcare Provider Details

I. General information

NPI: 1023407483
Provider Name (Legal Business Name): HEATHER NICOLE AKYEA BOAKYE-WENZEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER BOAKYE M.D.

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W THOMAS RD STE 500
PHOENIX AZ
85013-4220
US

IV. Provider business mailing address

500 W THOMAS RD STE 500
PHOENIX AZ
85013-4220
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-4000
  • Fax: 602-406-6498
Mailing address:
  • Phone: 602-406-4000
  • Fax: 602-406-6498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number00
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number50505
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number50505
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number20142
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number50505
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: