Individual provider · Type 1 NPI

Nicholas Maverick Scuderi, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1093501728 Active

Practice location

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849

Mailing address

1111 E Mcdowell Rd
Phoenix, AZ 85006-2612

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR81720 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093501728

Nicholas Maverick Scuderi, MD's National Provider Identifier is 1093501728, issued on Apr 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 18, 2025.