Elizabeth Suzanne Widmer, PA-C

Physician assistant in Fort Worth, Texas · NPI 1336562883

Elizabeth Widmer is one of 509 physician assistants practicing in Fort Worth, Texas. Elizabeth Widmer practices with Epiphany Dermatology PA.

Registry record (NPPES)

NPI
1336562883
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
12469 Timberland Blvd Ste 501
Fort Worth, TX 76244-5216
(817) 431-6555
Enumerated
Feb 3, 2014
Record last updated
Feb 3, 2014
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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  • Full enrollment history
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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.