WADDELL FAMILY CARE PLLC NPI 1144974395

NPI Information

WADDELL FAMILY CARE PLLC is a primary care clinic center in Surprise, AZ. WADDELL FAMILY CARE PLLC NPI is 1144974395. The provider is registered as an organization entity type.
The provider Is Doing Business As Waddell Family Care.

The provider's business location address is:

13755 N LITCHFIELD RD STE 105
SURPRISE, AZ
ZIP 85379-288
Phone: (623) 512-8308
Fax: (949) 437-2917

The provider's authorized official is Kandy Lizzeth Medina Perez .
The authorized official title is Owner/provider and has the following contact phone number (623) 512-8308.

The CLIA number assigned to this NPI record is 03D2293248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 9/11/2023.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.