Individual
MARIA PAMELA MEDIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2927 N 7TH AVE, PHOENIX, AZ 85013-4102
(602) 406-3153
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
262252
AZ
Other
Enumeration date
09/03/2021
Last updated
12/05/2024
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