DERMAL WOUND WIZARDS LLC NPI 1073384673

NPI Information

  • NPI: 1073384673
  • Provider Name: DERMAL WOUND WIZARDS LLC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 26900 N LAKE PLEASANT PARKWAY
    SUITE 202
    PEORIA, AZ
    ZIP 85383
  • Phone: (480) 712-6950

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NPI Details

DERMAL WOUND WIZARDS LLC is a nurse practitioner in Peoria, AZ. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DERMAL WOUND WIZARDS LLC NPI is 1073384673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26900 N LAKE PLEASANT PARKWAY
SUITE 202
PEORIA, AZ
ZIP 85383
Phone: (480) 712-6950
Fax: (623) 254-7100

The provider's authorized official is Coleen Yahl .
The authorized official title is Owner and has the following contact phone number (480) 712-6950.

The enumeration date for this NPI number is 1/11/2024 and was last updated on 8/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0000XRegistered NurseWound CareNo
2363L00000XNurse PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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