Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erich A Widemark, PHD, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1669468260

Erich A Widemark, PHD, FNP-BC is a Family Nurse Practitioner in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

14415 W McDowell Rd Goodyear
Goodyear, AZ 85395-2521
Phone: (623) 512-4190
Fax: (623) 512-4194
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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 083736 (AZ)

Record details

NPI number1669468260
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESNovember 19, 2009

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