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

Edyth Z Hendricks, PA

Individual provider Physician Assistant · NPI 1710076112

Edyth Z Hendricks, PA is a Physician Assistant in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
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

14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Phone: (623) 374-7774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 31-88 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 3188 (AZ)

Record details

NPI number1710076112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 17, 2015

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