Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dedra A. Wadsworth, FNP

Individual provider Family Nurse Practitioner · NPI 1205275997

Dedra A. Wadsworth, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

10240 N 31st Ave Ste 200
Phoenix, AZ 85051-9565
Phone: (602) 344-2500
Fax: (602) 247-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence TAP5036 (AZ)

Record details

NPI number1205275997
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 17, 2013
Last updated in NPPESJune 17, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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