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

Edyth Z Hendricks, PA

Individual provider Physician Assistant · NPI 1710076112

Edyth Z Hendricks, PA is a Physician Assistant in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Phone: (623) 374-7774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 31-88 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 3188 (AZ)

Record details

NPI number1710076112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 17, 2015
Mailing address14780 W. Mountain View Blvd., Suite 110, Phoenix, AZ 85374-7280

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