Individual provider · Type 1 NPI
Carmencita Medalle
Family Nurse Practitioner · Goodyear, AZ
NPI number
1346133196
Active
Practice location
1800 N Civic Sq Ste 200
Goodyear, AZ 85395-2391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN187226 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 325706 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346133196
Carmencita Medalle's National Provider Identifier is 1346133196, issued on May 30, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Goodyear, AZ. The record was last updated on Jun 20, 2025.