Individual provider · Type 1 NPI

Mi-Kyong Kim Shields, NP

Nurse Practitioner · Peoria, AZ

NPI number 1922571710 Active

Practice location

13634 N 93rd Ave Ste 100
Peoria, AZ 85381-4915

Mailing address

16273 W. Meade Lane
Goodyear, AZ 85338

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAP11206 (AZ)
Adult Health Nurse Practitioner 363LA2200XAP11206 (AZ)
Critical Care Medicine Nurse Practitioner 363LC0200XAP11206 (AZ)
Gerontology Nurse Practitioner 363LG0600XAP11206 (AZ)
Primary Care Nurse Practitioner 363LP2300XAP11206 (AZ)
Nurse Practitioner Primary 363L00000XAP11206 (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 1922571710

Mi-Kyong Kim Shields, NP's National Provider Identifier is 1922571710, issued on Jan 4, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, AZ. The record was last updated on Jan 4, 2019.