Individual
LICEETT PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
616 E SOUTHERN AVE STE 103, MESA, AZ 85204
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN182545
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP11544
AZ
Other
Enumeration date
08/09/2017
Last updated
09/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us