IndividualActive
Jeff Waknitz
NPI 1598115388 · Family Health Clinical Nurse Specialist · Surprise, AZ
Provider details
- NPI number
- 1598115388
- Entity type
- Individual
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN143951 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14820 W Wethersfield Rd
Surprise, AZ 85379-5968
Phone: (623) 512-8700
Approximate (ZIP-level) locationGet directions
Mailing address
14820 W Wethersfield Rd
Surprise, AZ 85379-5968
Registry dates
- Enumerated
- 2016-06-13
- Last updated
- 2016-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.