Individual
JOEL PHILLIP MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 N AVONDALE BLVD, AVONDALE, AZ 85392-5006
(602) 933-1000
Mailing address
20508 W DANIEL PL, BUCKEYE, AZ 85396-3649
(714) 659-1969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
TAP11637
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP11637
AZ
Other
Enumeration date
08/07/2018
Last updated
03/20/2026
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