Individual provider · Type 1 NPI

Edgar Mayorquin, NP

Nurse Practitioner · San Luis, AZ

NPI number 1619462009 Active

Practice location

1896 E Babbitt Ln
San Luis, AZ 85349

Fax (928) 722-6113

Mailing address

PO Box 617
Somerton, AZ 85350-0617

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP11434 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619462009

Edgar Mayorquin, NP's National Provider Identifier is 1619462009, issued on Jun 27, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Luis, AZ. The record was last updated on Aug 19, 2024.