Jeff John Waknitz
Jeff John Waknitz is a Nurse Practitioner in Surprise, Arizona. Qualified in 2016, 10 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 10
- Licensed in
- AZ
- In the registry since
- 2016
Practice location Address checks out
14820 W Wethersfield RdSurprise, AZ 85379-5968
Phone: (623) 512-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Health Clinical Nurse Specialist (primary) | Taxonomy 364SF0001X · Licence RN143951 (AZ) |
|---|
Record details
| NPI number | 1598115388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 13, 2016 |
| Last updated in NPPES | June 13, 2016 |
| Mailing address | 14820 W Wethersfield Rd, Surprise, AZ 85379-5968 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Banner Physician Specialists Arizona Llc — 372 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |