Individual provider · Type 1 NPI

Keith Allen Medina, RN

Registered Nurse · Glendale, AZ

NPI number 1053085795 Active

Practice location

8045 N 47th Ave
Glendale, AZ 85302-6402

Call (623) 435-6300 Map

Fax (623) 435-6369

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X201020 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053085795

Keith Allen Medina, RN's National Provider Identifier is 1053085795, issued on Aug 5, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Glendale, AZ. The record was last updated on Aug 5, 2021.