KANDY LIZZETH MEDINA PEREZ FNP-C NPI 1972186138

NPI Information

NPI: 1972186138
Provider Name: KANDY LIZZETH MEDINA PEREZ, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7908 N COTTON LN
WADDELL, AZ
ZIP 85355
Phone: (623) 512-8308
Get Directions

Kandy Lizzeth Medina Perez, FNP-C is a family nurse practitioner in Waddell, AZ with 3 years of experience. Kandy Lizzeth Medina Perez, FNP-C NPI is 1972186138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7908 N COTTON LN
WADDELL, AZ
ZIP 85355-751
Phone: (623) 512-8308

The NPI 1972186138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2021 and was last updated on 6/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN211082	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	RNP267355	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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