MEDICARE: MRS. PATRICIA A WASHKOWIAK RNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	RN059671	AZ

General Provider Information

NPI Number	:	1306964895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA A WASHKOWIAK RNP-C

Provider Business Mailing Address
First Line	:	201 W GUADALUPE RD STE 310
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-3319
Country	:	US
Telephone Number	:	480-813-0944
Fax Number	:	480-813-0038

Provider Business Practice Location Address
First Line	:	201 W GUADALUPE RD STE 310
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-3319
Country	:	US
Telephone Number	:	480-813-0944
Fax Number	:	480-813-0038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/08/2007

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