Organization · Type 2 NPI
Kidnurse, LLC
Pediatric Nurse Practitioner · Mesa, AZ
NPI number
1124526884
Active
Practice location
1550 S Alma School Rd Ste 275
Mesa, AZ 85210-2107
Fax (844) 364-6546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP3938 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1124526884
Kidnurse, LLC's National Provider Identifier is 1124526884, issued on Jan 29, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mesa, AZ. The record was last updated on Apr 14, 2020.