IndividualActive
Alivia Wieseler
NPI 1588043475 · Medical Physician Assistant · Casa Grande, AZ
Provider details
- NPI number
- 1588043475
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6051 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1637 E Monument Plaza Cir Ste 1
Casa Grande, AZ 85122-5639
Phone: (520) 426-1512
Fax: (520) 426-1750
Approximate (ZIP-level) locationGet directions
Mailing address
8415 N Pima Rd
Scottsdale, AZ 85258-4485
Registry dates
- Enumerated
- 2015-05-25
- Last updated
- 2020-01-09
- Certified
- 2020-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.