Individual provider · Type 1 NPI
Andrea Hernandez Medina
Acute Care Nurse Practitioner · Flagstaff, AZ
NPI number
1780548917
Active
Practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
726 E Edison Ave
Williams, AZ 86046-2120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 258776 (AZ) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1780548917
Andrea Hernandez Medina's National Provider Identifier is 1780548917, issued on Dec 11, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Flagstaff, AZ. The record was last updated on Dec 11, 2025.