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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AZ ADVANCED WOUND CARE
NPI 1477496925
Family Medicine - Geriatric Medicine in Mesa, AZ

Active since April 10, 2026
4838 E BASELINE RD., BLDG 2 STE 113, MESA, AZ 85206(602) 835-3809(480) 944-0859 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2026, Apr 10, 2026 (2 updates tracked since 2026).

About Az Advanced Wound Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZ ADVANCED WOUND CARE (NPI 1477496925) is a healthcare organization registered as a geriatric medicine in Mesa, Arizona and active in the NPI registry since April 2026. The organization lists Breanna N Waller, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1477496925
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameAZ ADVANCED WOUND CARE
Location Address4838 E BASELINE RD., BLDG 2 STE 113Mesa, AZ 85206-4674
Mailing Address4838 E Baseline Rd Ste 113Mesa, AZ 85206-4674 · (602) 835-3809 · Fax (480) 944-0859
Phone(602) 835-3809
Fax(480) 944-0859
Organization SubpartNo
Authorized OfficialBreanna N WallerDirector Of Operations · (615) 723-2828
Enumeration DateApril 10, 2026
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1477496925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
4838 E BASELINE RD., Mesa, AZ 85206
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Other Names 1

Doing Business AsAz Advanced Wound Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Az Advanced Wound Care's NPI number?

The NPI number for Az Advanced Wound Care is 1477496925. It was assigned to this organization in the NPPES registry on April 10, 2026.

Where is Az Advanced Wound Care located?

Az Advanced Wound Care is located at 4838 E Baseline Rd. Bldg 2 Ste 113, Mesa, AZ 85206. The listed phone number is (602) 835-3809.

What is Az Advanced Wound Care's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Az Advanced Wound Care was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.