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NPI 1255304184

NPI 1255304184 : WENDY LEA MARKOVICH NP : TEMPE, AZ

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General NPI Number Information
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    NPI Number           |    1255304184
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    Entity Type          |    Individual 
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    Provider Name        |    WENDY LEA MARKOVICH NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2006
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    Last Update Date     |    02/19/2025
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Provider Practice Location Address
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    Address Line         |    222 S MILL AVE 
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    City                 |    TEMPE
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    State                |    AZ
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    Zip                  |    85281-2889
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    Country              |    US
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    Telephone            |    602-345-0647
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8414 E. SHEA BOULEVARD SUITE 103
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260
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    Country              |    US
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    Telephone            |    480-917-7800
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    Fax                  |    480-917-8500
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AZ2787
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    003315
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP2787
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    License Number State |    AZ
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Taxonomy #4
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN146859
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    License Number State |    AZ
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Taxonomy #5
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    072310
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    License Number State |    CT
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