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

Wanda G Ichiriu, PA

Individual provider Physician Assistant · NPI 1366569246

Wanda G Ichiriu, PA is a Physician Assistant in Mesa, Arizona. Works from 3 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
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

4135 S Power Rd Ste 113
Mesa, AZ 85212-3625
Phone: (480) 626-2444
Fax: (480) 409-2987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6900 E Camelback Rd Ste 850, Scottsdale, AZ 85251-2443 — (602) 539-5495
  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 — (480) 301-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8561 (AZ)

Record details

NPI number1366569246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

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